Mountain Shadows Support Group
NPI 1104280361 · Intellectual Disabilities Intermediate Care Facility · Jurupa Valley, CA
Mountain Shadows Support Group is a Intellectual Disabilities Intermediate Care Facility organization in Jurupa Valley, CA (NPI 1104280361).
Provider details
- NPI number
- 1104280361
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Lupe Bryson, Business Office Manager(760) 743-3714
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
10 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)
- Doing business as
- Mountain Shadows Special Kids Homes-Garth
Registry dates
- Enumerated
- 2016-04-13
- Last updated
- 2016-04-19
Frequently asked questions
- What is Mountain Shadows Support Group's NPI number?
- Mountain Shadows Support Group's National Provider Identifier (NPI) is 1104280361, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mountain Shadows Support Group?
- Mountain Shadows Support Group is classified in the NPPES registry as Intellectual Disabilities Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Mountain Shadows Support Group located?
- Mountain Shadows Support Group's practice location on file with NPPES is 4287 Garth St, Jurupa Valley, CA 92509-3316.
- What is Mountain Shadows Support Group's phone number?
- The practice phone number listed in the NPPES registry for Mountain Shadows Support Group is (760) 743-3714.
- Who is the authorized official for Mountain Shadows Support Group?
- The authorized official listed on Mountain Shadows Support Group's NPPES record is Lupe Bryson, Business Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mountain Shadows Support Group's NPI active?
- Yes — Mountain Shadows Support Group's NPI (1104280361) is active in the NPPES registry as of the last update on 2016-04-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.