SHADOW MOUNTAIN LLC.


Address: 250 Shadow Mountain Rd., Taos, NM 87571
Phone: 5757514851

SHADOW MOUNTAIN LLC. (NPI# 1295154888) 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) 1295154888
Entity Type Organization
Organization Name SHADOW MOUNTAIN LLC.
Other Organization Name SHADOW MOUNTAIN RECOVERY, TAOS
Practice Address 250 Shadow Mountain Rd.
Taos
NM 87571
Mailing Address Po Box 830525
Department # Sf 57
Birmingham
AL 35283-0525
Practice Telephone 5757514851
Mailing Telephone 9314517757
Mailing Fax Number 9319337762
Enumeration Date 2014-04-10
Last Update Date 2017-05-10
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 STATE WAIVER NM Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Shadow Mountain Recovery, Taos 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
1154733558 Shadow Mountain LLC. Substance Abuse Rehabilitation Facility 5250 Pikes Peak Highway, Cascade, CO 80809 2014-05-20
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 250 SHADOW MOUNTAIN RD.
City TAOS
State NM
Zip Code 87571

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376150912 Colleen Struhar Counselor 250 Shadow Mountain Rd., Taos, NM 87571 2020-09-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174080923 Veronika Anne Peacetree Counselor Vds-taos, 314 Don Fernando Street, Taos, NM 87571 2019-02-28
1043785603 Lindsey M Schreiber Counselor 412 Sipapu Street, Taos, NM 87571 2018-10-10
1881173698 Mia M Mcmullen Specialist/Technologist Enos Garcia Elementary School, 305 Don Fernando St, Taos, NM 87571 2018-08-13
1992225403 Ted Dimond Counselor 525 Salazar Rd, Suite A, Taos, NM 87571 2017-06-26
1467908103 Jacqueline Danielle Arcand Social Worker 250 Shadow Mountain Rd, Taos, NM 87571 2016-09-01
1225487812 James Lucero Social Worker 905 Witt Rd., Taos, NM 87571 2016-06-06
1083098370 Ellen Durant Marriage & Family Therapist 1135 Butterfly Rd, Taos, NM 87571 2015-07-16
1831584192 Eight Northern Indian Pueblos Council, Inc. Community Based Residential Treatment Facility, Mental Illness 1130 Butterfly Rd., Taos, NM 87571 2015-04-03
1790179844 Eight Northern Indian Pueblos Substance Abuse Rehabilitation Facility 1130 Butterfly Road, Taos, NM 87571 2015-03-26
1992106041 Debbie I Salazar, Lisw Ltd Co Community/Behavioral Health 208 Ranchitos Road Unit B, Taos, NM 87571 2014-09-09
Find all providers in zip 87571

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
1194924928 Rio Grande Alcoholism Treatment Center Incorporated Substance Abuse Rehabilitation Facility 224 Cruz Alta Rd Ste J, Taos, NM 87571-5947 2007-07-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1518505452 Innovative Mat Solutions, LLC Substance Abuse Rehabilitation Facility 2215 Ambassador Rd Ne Apt 37, Albuquerque, NM 87112-2767 2019-12-11
1225509250 Recovery House LLC Substance Abuse Rehabilitation Facility 9171 Glendale Ave Ne, Albuquerque, NM 87122-3805 2018-12-17
1427535251 Full Circle Recovery Substance Abuse Rehabilitation Facility 3056 Frontier Ave. Ne, Albuquerque, NM 87106-8710 2018-07-24
1679007744 Eight Northern Indian Pueblos Substance Abuse Rehabilitation Facility 579 White Swan Rd, 327 Eagle Drive, Ohkay Owingeh, NM 87566 2017-04-17
1619269446 The Jericho House Substance Abuse Rehabilitation Facility 2845 Dona Ana Rd, Las Cruces, NM 88007-5239 2011-05-12
1063641819 Nm Department of Health Substance Abuse Rehabilitation Facility 100 Calle De Central, Fort Bayard, NM 88036 2009-07-14
1376770214 The Consortium Substance Abuse Rehabilitation Facility 571 North Tenth Street, Fort Sumner, NM 88119-0427 2009-06-18
1386870137 Dismas House Nm Inc. Substance Abuse Rehabilitation Facility 701 Candelaria Rd Nw, Albuquerque, NM 87107-2407 2009-06-08
1760621007 Shadow Mountain LLC. Substance Abuse Rehabilitation Facility 5400 Gibson Blvd. S. E, 3rd Floor, Albuquerque, NM 87109 2009-02-10
1235375460 Regional Substance Abuse Treatment Initiative Substance Abuse Rehabilitation Facility 519 North 10th. Street, Fort Sumner, NM 88119 2008-12-17
Find all providers with the same taxonomy

Competitor

Search similar providers

City TAOS
Zip Code 87571

Improve Information

Please comment or provide details below to improve the information on SHADOW MOUNTAIN LLC..

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.

Trending Searches