Shady Glen Facility
NPI 1003046566 · Developmental Disabilities Clinic/Center · San Bernardino, CA
Shady Glen Facility is a Developmental Disabilities Clinic/Center organization in San Bernardino, CA (NPI 1003046566).
Provider details
- NPI number
- 1003046566
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Bridges in Communications, Inc
- Organization subpart
- Yes
- Authorized official
- Patricia Stone, Administrator(909) 910-9604
- License
- 360911227 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-07-19
- Last updated
- 2009-07-29
Frequently asked questions
- What is Shady Glen Facility's NPI number?
- Shady Glen Facility's National Provider Identifier (NPI) is 1003046566, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shady Glen Facility?
- Shady Glen Facility is classified in the NPPES registry as Developmental Disabilities Clinic/Center (Ambulatory Health Care Facilities).
- Where is Shady Glen Facility located?
- Shady Glen Facility's practice location on file with NPPES is 2571 Shady Glen Ln, San Bernardino, CA 92408-4174.
- What is Shady Glen Facility's phone number?
- The practice phone number listed in the NPPES registry for Shady Glen Facility is (909) 783-8806.
- Who is the authorized official for Shady Glen Facility?
- The authorized official listed on Shady Glen Facility's NPPES record is Patricia Stone, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shady Glen Facility's NPI active?
- Yes — Shady Glen Facility's NPI (1003046566) is active in the NPPES registry as of the last update on 2009-07-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.