OrganizationActive
Shadow Mountain LLC.
NPI 1154733558 · Substance Abuse Rehabilitation Facility · Cascade, CO
Provider details
- NPI number
- 1154733558
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jackie Holub, Vice President(925) 389-8591
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
5250 Pikes Peak Highway
Cascade, CO 80809
Phone: (719) 684-7846
Fax: (719) 684-7841
Street-level locationGet directions
Mailing address
Po Box 830525
Birmingham, AL 35283-0525
Other names (DBA / former)
- Doing business as
- Shadow Mountain Recovery, Cascade
Registry dates
- Enumerated
- 2014-05-20
- Last updated
- 2017-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.