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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
Shadow Mountain Recovery, Cascade | Doing Business As Name - Organization |
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 |
Street Address |
5250 PIKES PEAK HIGHWAY |
City | CASCADE |
State | CO |
Zip Code | 80809 |
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 |
Find all providers in zip 80809 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
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] |
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 |
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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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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.