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NPI · 1003046566 · NPPES-sourced

Shady Glen Facility

ActiveDevelopmental Disabilities Clinic/Center
NPI Number
1003046566
Type 2 · Organisation
Contact
(909) 783-8806
License CA · 360911227
Last Updated
Enumerated
Primary practice addressCA · 92408-4174
2571 Shady Glen LnSan Bernardino, CA 92408-4174
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About this NPIWhat this record shows.

NPI 1003046566 is registered to Shady Glen Facility, a healthcare organisation classified as "Developmental Disabilities Clinic/Center" and located at 2571 Shady Glen Ln in San Bernardino, California. The organisation's authorised official is Patricia Stone. The organisation has been enumerated in the NPI registry since 2009.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Shady Glen Facility accepts. To confirm in-network status with your specific health plan, contact Shady Glen Facility directly at (909) 783-8806.

Frequently asked

Yes. NPI 1003046566 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Developmental Disabilities Clinic/Center is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (909) 783-8806.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Shady Glen Facility is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy261QD1600X
Last updated
Enumerated
StatusActive
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