Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mountain Shadows Support Group

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1104280361

Mountain Shadows Support Group is an Intellectual Disabilities Intermediate Care Facility in Jurupa Valley, California. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

4287 Garth St
Jurupa Valley, CA 92509-3316
Phone: (760) 743-3714
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X

Record details

NPI number1104280361
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lupe Bryson — Business Office Manager · (760) 743-3714
Other names Mountain Shadows Special Kids Homes-Garth
NPI enumeratedApril 13, 2016
Last updated in NPPESApril 19, 2016
Mailing address970 Los Vallecitos Blvd, San Marcos, CA 92069-1473