MOUNTAIN SHADOWS COMMUNITY HOMES - WILLOW
NPI 1922123181
Intermediate Care Facility, Intellectual Disabilities in Escondido, CA

NPI Status: Active since March 20, 2007

Contact Information

2067 W EL NORTE PKWY
ESCONDIDO, CA
ZIP 92026
Phone: (760) 743-3714
Fax: (760) 743-9937

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About MOUNTAIN SHADOWS COMMUNITY HOMES - WILLOW

This page provides the complete NPI Profile along with additional information for Mountain Shadows Community Homes - Willow, a provider established in Escondido, California operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1922123181 assigned on March 2007. The practitioner's primary taxonomy code is 315P00000X with license number 46989489 (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Mountain Shadows Community Homes - Willow. The authorized official of this NPI record is Lupe Bryson (Business Office Manager)

NPI
1922123181
Provider Legal Name
MOUNTAIN SHADOWS SUPPORT GROUP, INC.
Other Organization Name
MOUNTAIN SHADOWS COMMUNITY HOMES - WILLOW
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2067 W EL NORTE PKWY ESCONDIDO, CA 92026
Location Phone
(760) 743-3714
Location Fax
(760) 743-9937
Mailing Address
2067 W EL NORTE PKWY ESCONDIDO, CA 92026
Mailing Phone
(760) 743-3714
Mailing Fax
(760) 743-9937
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-20-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
License No.
46989489
License State
CA
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LUPE BRYSON

Authorized Official Title
BUSINESS OFFICE MANAGER
Authorized Official Phone
(760) 743-3714

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
LTC60195HMEDICAID (05)CA 

Reviews for MOUNTAIN SHADOWS COMMUNITY HOMES - WILLOW

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1922123181
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2942226116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 4 + 2 + 2 + 2 + 6 + 1 + 1 + 6 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1922123181 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1396894291MOUNTAIN SHADOWS SUPPORT GROUP
Organization
Nursing Facility/Intermediate Care Facility2067 W EL NORTE PKWY
ESCONDIDO, CA 92026
(760) 743-3714
1346365590MOUNTAIN SHADOWS SUPPORT GROUP
Organization
Intermediate Care Facility, Intellectual Disabilities2067 W EL NORTE PKWY
ESCONDIDO, CA 92026
(760) 743-3714
1396860540MOUNTAIN SHADOWS SUPPORT GROUP, INC.
Organization
Intermediate Care Facility, Intellectual Disabilities2067 W EL NORTE PKWY
ESCONDIDO, CA 92026
(760) 743-3714
1972628121MOUNTAIN SHADOWS SUPPORT GROUP, INC.
Organization
Intermediate Care Facility, Intellectual Disabilities2067 W EL NORTE PKWY
ESCONDIDO, CA 92026
(760) 743-3714
1710002951MOUNTAIN SHADOWS SUPPORT GROUP, INC.
Organization
Intermediate Care Facility, Intellectual Disabilities2067 W EL NORTE PKWY
ESCONDIDO, CA 92026
(760) 743-3714
1720103971MOUNTAIN SHADOWS SUPPORT GROUP, INC.
Organization
Intermediate Care Facility, Intellectual Disabilities2067 W EL NORTE PKWY
ESCONDIDO, CA 92026
(760) 743-3714
1871618033MOUNTAIN SHADOWS SUPPORT GROUP, INC.
Organization
Intermediate Care Facility, Intellectual Disabilities2067 W EL NORTE PKWY
ESCONDIDO, CA 92026
(760) 743-3714
1831214071MOUNTAIN SHADOWS SUPPORT GROUP, INC.
Organization
Intermediate Care Facility, Intellectual Disabilities2067 W EL NORTE PKWY
ESCONDIDO, CA 92026
(760) 743-3714
1982729133MOUNTAIN SHADOWS SUPPORT GROUP, INC
Organization
Intermediate Care Facility, Intellectual Disabilities2067 W EL NORTE PKWY
ESCONDIDO, CA 92026
(760) 743-3714
1912022161MOUNTAIN SHADOWS SUPPORT GROUP, INC.
Organization
Intermediate Care Facility, Intellectual Disabilities2067 W EL NORTE PKWY
ESCONDIDO, CA 92026
(760) 743-3714
1265557417MOUNTAIN SHADOWS SUPPORT GROUP, INC.
Organization
Intermediate Care Facility, Intellectual Disabilities2067 W EL NORTE PKWY
ESCONDIDO, CA 92026
(760) 743-3714
1881719045MOUNTAIN SHADOWS SUPPORT GROUP, INC
Organization
Intermediate Care Facility, Intellectual Disabilities2067 W EL NORTE PKWY
ESCONDIDO, CA 92026
(760) 743-3714
1861517021MOUNTAIN SHADOWS SUPPORT GROUP, INC.
Organization
Intermediate Care Facility, Intellectual Disabilities2067 W EL NORTE PKWY
ESCONDIDO, CA 92026
(760) 743-3714
1205951464MOUNTAIN SHADOWS SUPPORT GROUP, INC
Organization
Intermediate Care Facility, Intellectual Disabilities2067 W EL NORTE PKWY
ESCONDIDO, CA 92026
(760) 743-3714
1750406914MOUNTAIN SHADOWS SUPPORT GROUP, INC.
Organization
Intermediate Care Facility, Intellectual Disabilities2067 W EL NORTE PKWY
ESCONDIDO, CA 92026
(760) 743-3714

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922123181, enumerated in the NPI registry as an "organization" on March 20, 2007

The provider is located at 2067 W El Norte Pkwy Escondido, Ca 92026 and the phone number is (760) 743-3714

This medical organization specializes in Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 20, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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