SHADOW MOUNTAIN LLC.


Address: 5250 Pikes Peak Highway, Cascade, CO 80809
Phone: 7196847846

SHADOW MOUNTAIN LLC. (NPI# 1154733558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154733558
Entity Type Organization
Organization Name SHADOW MOUNTAIN LLC.
Other Organization Name SHADOW MOUNTAIN RECOVERY, CASCADE
Practice Address 5250 Pikes Peak Highway
Cascade
CO 80809
Mailing Address Po Box 830525
Department # Sf 56
Birmingham
AL 35283-0525
Practice Telephone 7196847846
Practice Fax Number 7196847841
Mailing Telephone 9314517757
Mailing Fax Number 9319337762
Enumeration Date 2014-05-20
Last Update Date 2017-04-27
Authorized Official Name JACKIE HOLUB (VICE PRESIDENT)
Authorized Official Telephone 9253898591
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Shadow Mountain Recovery, Cascade Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1164896197 Shadow Mountain LLC. Substance Abuse Rehabilitation Facility 2102 University Park Blvd., Colorado Springs, CO 80918 2015-11-13
1699182410 Shadow Mountain LLC. Clinic/Center 8200 E. Belleview Blvd., Suite 400e, Greenwood Village, CO 80111 2014-07-14
1831505874 Shadow Mountain LLC. Special Hospital 120 W. 1470 South, Building B, St. George, UT 84770 2014-07-10
1295154888 Shadow Mountain LLC. Substance Abuse Rehabilitation Facility 250 Shadow Mountain Rd., Taos, NM 87571 2014-04-10
1760621007 Shadow Mountain LLC. Substance Abuse Rehabilitation Facility 5400 Gibson Blvd. S. E, 3rd Floor, Albuquerque, NM 87109 2009-02-10
1437521507 Shadow Mountain LLC. Substance Abuse Rehabilitation Facility 5400 Gibson Blvd Se, Third Floor, Suite A, Albuquerque, NM 87108-4729 2015-10-28
1801226709 Shadow Mountain LLC. Community/Behavioral Health 1155 Kelly Johnson Blvd, Suite 201, Colorado Springs, CO 80920-3932 2013-11-14

Office Location

Street Address 5250 PIKES PEAK HIGHWAY
City CASCADE
State CO
Zip Code 80809

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912162488 Kara Anne Niewohner Speech-Language Pathologist 2210 Lelaray St, Colorado Springs, CO 80809 2008-07-24
1295903045 Southern Colorado Addiction Recovery Center Substance Abuse Rehabilitation Facility 5250 Pikes Peak Hwy, Cascade, CO 80809-1110 2008-02-14
1023591104 Sandstone Care Cos, LLC Psychiatric Residential Treatment Facility 5250 Pikes Peak Hwy, Cascade, CO 80809-1110 2018-09-13
1114378858 Cindy Montgomery Counselor 5250 Pikes Peak Hwy, Cascade, CO 80809-1110 2016-06-23
1871943548 Theresa Lawrence Counselor 5250 Pikes Peak Hwy, Cascade, CO 80809-1110 2016-06-14
1265881106 Margaret Doherty Counselor 5250 Pikes Peak Hwy, Cascade, CO 80809-1110 2016-06-10
1154590487 Charles Jay Stephens Family Medicine 5250 Pikes Peak Hwy, Cascade, CO 80809-1110 2008-02-20
1982898664 Erik Struck Chiropractor 9910 Mohawk Trl, Cascade, CO 80809-1611 2007-09-05
1154562023 Back and Neck Care Center of Colorado Springs Chiropractor 9910 Mohawk Trl, Cascade, CO 80809-1611 2009-03-23
1609419985 Andrea Lynn Houk Registered Nurse 7855 Marriott Rd, Cascade, CO 80809-1726 2019-10-19
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Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Notes: [7/1/2003: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295903045 Southern Colorado Addiction Recovery Center Substance Abuse Rehabilitation Facility 5250 Pikes Peak Hwy, Cascade, CO 80809-1110 2008-02-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295336071 Sobriety House, Inc. Substance Abuse Rehabilitation Facility 1368 Elizabeth St, Denver, CO 80206-2309 2020-11-06
1548874308 Lotus Lodge, LLC Substance Abuse Rehabilitation Facility 206 Uvalda St, Aurora, CO 80011-8602 2020-08-31
1710591573 Lotus Lodge Men, LLC Substance Abuse Rehabilitation Facility 16313 E 7th Dr, Aurora, CO 80011-4524 2020-08-31
1710509583 Crossroads' Turning Points, Inc. Substance Abuse Rehabilitation Facility 1004 Carbon Place, Trinidad, CO 81082 2020-05-14
1538796156 Rocky Mountain Detox, LLC Substance Abuse Rehabilitation Facility 1336 Pierce St, Lakewood, CO 80214-1939 2020-03-24
1215574413 Healing Pines Recovery, LLC. Substance Abuse Rehabilitation Facility 5550 County Road 124, Elizabeth, CO 80107 2019-12-06
1790328607 Gallus Detox Denver LLC Substance Abuse Rehabilitation Facility 5920 S Estes St Ste 150, Littleton, CO 80123-8620 2019-10-23
1114584232 Scw Recovery LLC Substance Abuse Rehabilitation Facility 330 Fiedler Ave, Ste 103, Dillon, CO 80435 2019-05-23
1902462617 Colorado West Regional Mental Health, Inc. Substance Abuse Rehabilitation Facility 2800 Riverside Pkwy Bldg 2, Grand Junction, CO 81501-4721 2019-05-17
1487122057 Valiant Dtx, LLC Substance Abuse Rehabilitation Facility 2602 S Ensenada Way, Aurora, CO 80013-7690 2018-11-12
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Competitor

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City CASCADE
Zip Code 80809

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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