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

Mountain Shadows Support Group, Inc

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1396860540

Mountain Shadows Support Group, Inc is an Intellectual Disabilities Intermediate Care Facility in Escondido, 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

2067 W El Norte Pkwy
Escondido, CA 92026-1810
Phone: (760) 743-3714
Fax: (760) 743-9937
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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 number1396860540
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lupe Bryson — Business Office Manager · (760) 743-3714
Other names Mtn.Shadows Community Homes-Crepe Myrtle
NPI enumeratedMarch 20, 2007
Last updated in NPPESAugust 22, 2020
Mailing address2067 W El Norte Pkwy, Escondido, CA 92026-1810

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