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About this NPIWhat this record shows.
NPI 1104280361 is registered to Mountain Shadows Support Group, a healthcare organisation classified as "Intellectual Disabilities Intermediate Care Facility" and located at 4287 Garth St in Jurupa Valley, California. The organisation's authorised official is Lupe Bryson. The organisation has been enumerated in the NPI registry since 2016.
Provider type
Organisation (Type 2)
Status
Active
Enumerated
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The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mountain Shadows Support Group accepts. To confirm in-network status with your specific health plan, contact Mountain Shadows Support Group directly at (760) 743-3714.
Frequently asked
Yes. NPI 1104280361 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.
Intellectual Disabilities Intermediate Care Facility 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 (760) 743-3714.
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. Mountain Shadows Support Group is a Type-2 organisational NPI.
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