Shadow Mountain Recovery LLC.
NPI 1437521507ActiveOrganization· Substance Abuse Rehabilitation Facility· Rio Rancho, NM
Substance Abuse Rehabilitation Facility in Rio Rancho, New Mexico, registered in NPPES in October 2015. The authorized official on file is Jackie Elliott, Vice President.
Overview
| NPI | 1437521507 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 28, 2015 |
| Last updated in NPPES | Apr 6, 2021 |
| Certified by provider | Apr 6, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | — | — |
| Clinic/Center, Rehabilitation, Substance Use Disorder | 261QR0405X | — | — |
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 |
|---|
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