Shady Glen Facility
NPI 1003046566ActiveOrganization· Clinic/Center, Developmental Disabilities· San Bernardino, CA
Clinic/Center, Developmental Disabilities in San Bernardino, California, registered in NPPES in July 2009, part of Bridges in Communications, Inc. The authorized official on file is Patricia Stone, Administrator.
Overview
| NPI | 1003046566 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Bridges in Communications, Inc |
| NPI issued | Jul 19, 2009 |
| Last updated in NPPES | Jul 29, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Developmental Disabilities Primary | 261QD1600X | 360911227 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|