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

Mountain Shadows Support Group, Inc

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1235254582

Mountain Shadows Support Group, Inc is an Intellectual Disabilities Intermediate Care Facility in San Marcos, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

866 Viking Ln
San Marcos, CA 92069-5806
Phone: (760) 743-3714
Fax: (760) 743-9937
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 · Licence 46989489 (CA)

Record details

NPI number1235254582
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lupe Bryson — Business Office Manager · (760) 743-3714
Other names Mountain Shadows Community Homes - Oak
NPI enumeratedMarch 19, 2007
Last updated in NPPESAugust 22, 2020
Mailing address2067 W El Norte Pkwy, Escondido, CA 92026-1810

Other providers in San Marcos