Shadow Mountain Recovery, Rio Rancho

LBN: Shadow Mountain Recovery Llc.
Shadow Mountain Recovery, Rio Rancho is an health care organization with primary practice located at 1114 Villa Rd Se , Rio Rancho NM 87124-3581. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Shadow Mountain Recovery Llc. can be contacted via phone (800) 203-8249, or through Elliott, Jackie via phone (925) 389-8591.

Contact Information

Primary practice address
1114 Villa Rd Se Rio Rancho NM 87124-3581
Phone: (800) 203-8249
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Elliott, Jackie
Phone: (925) 389-8591

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1437521507
LBN Legal business name Shadow Mountain Recovery Llc.
DBA Doing business as Shadow Mountain Recovery, Rio Rancho
Authorized official Elliott, Jackie
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2015
Last updated Apr 6th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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