Shadow Mountain Recovery LLC.
NPI 1952973505ActiveOrganization· Substance Abuse Rehabilitation Facility· Rio Rancho, NM
Substance Abuse Rehabilitation Facility in Rio Rancho, New Mexico, registered in NPPES in July 2021. The authorized official on file is Jackie Holub, Vp, Operations.
Overview
| NPI | 1952973505 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 13, 2021 |
| Last updated in NPPES | Jul 13, 2021 |
| Certified by provider | Jul 13, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | — | — |
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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