Shadow Mountain LLC.
NPI 1295154888 · Substance Abuse Rehabilitation Facility · Taos, NM
Shadow Mountain LLC. is a Substance Abuse Rehabilitation Facility organization in Taos, NM (NPI 1295154888).
Provider details
- NPI number
- 1295154888
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jackie Holub, Vice President(925) 389-8591
- License
- STATE WAIVER (NM)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
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
Mailing address
Other names (DBA / former)
- Doing business as
- Shadow Mountain Recovery, Taos
Registry dates
- Enumerated
- 2014-04-10
- Last updated
- 2017-05-10
Frequently asked questions
- What is Shadow Mountain LLC.'s NPI number?
- Shadow Mountain LLC.'s National Provider Identifier (NPI) is 1295154888, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shadow Mountain LLC.?
- Shadow Mountain LLC. is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Shadow Mountain LLC. located?
- Shadow Mountain LLC.'s practice location on file with NPPES is 250 Shadow Mountain Rd., Taos, NM 87571.
- What is Shadow Mountain LLC.'s phone number?
- The practice phone number listed in the NPPES registry for Shadow Mountain LLC. is (575) 751-4851.
- Who is the authorized official for Shadow Mountain LLC.?
- The authorized official listed on Shadow Mountain LLC.'s NPPES record is Jackie Holub, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shadow Mountain LLC.'s NPI active?
- Yes — Shadow Mountain LLC.'s NPI (1295154888) is active in the NPPES registry as of the last update on 2017-05-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.