Mountain Shadows Support Group, Inc
NPI 1053436287 · Nursing Facility/Intermediate Care Facility · Riverside, CA
Mountain Shadows Support Group, Inc is a Nursing Facility/Intermediate Care Facility organization in Riverside, CA (NPI 1053436287).
Provider details
- NPI number
- 1053436287
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Lupe Bryson, Bussiness Office Manager(760) 743-3714
- License
- 46989489 (CA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Other names (DBA / former)
- Former legal business name
- Special Kids Homes-Maverick House
Registry dates
- Enumerated
- 2007-03-20
- Last updated
- 2010-09-09
Frequently asked questions
- What is Mountain Shadows Support Group, Inc's NPI number?
- Mountain Shadows Support Group, Inc's National Provider Identifier (NPI) is 1053436287, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mountain Shadows Support Group, Inc?
- Mountain Shadows Support Group, Inc is classified in the NPPES registry as Nursing Facility/Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Mountain Shadows Support Group, Inc located?
- Mountain Shadows Support Group, Inc's practice location on file with NPPES is 8163 Laurel Park Cir, Riverside, CA 92509-4075.
- What is Mountain Shadows Support Group, Inc's phone number?
- The practice phone number listed in the NPPES registry for Mountain Shadows Support Group, Inc is (760) 743-3714.
- Who is the authorized official for Mountain Shadows Support Group, Inc?
- The authorized official listed on Mountain Shadows Support Group, Inc's NPPES record is Lupe Bryson, Bussiness Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mountain Shadows Support Group, Inc's NPI active?
- Yes — Mountain Shadows Support Group, Inc's NPI (1053436287) is active in the NPPES registry as of the last update on 2010-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.