Organization · Type 2 NPI

Shadow Mountain Management

Skilled Nursing Facility · Canon City, CO

NPI number 1366430910 Active

Practice location

1401 Phay Ave
Canon City, CO 81212-2303

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	0055 (CO)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

8 other providers at this address

Other skilled nursing facility providers in Canon City

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NPI record

NPI: 1366430910
Entity type: Organization (Type 2)
Issued: Oct 7, 2005
Last updated: Jan 28, 2026
Status: Active

Other names

<unavail>
Hildebrand Care Center · doing business as
Hildebrand Care Center · doing business as

Authorized official

Shelby Townsend
Business Office Manager
(719) 275-8656

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1366430910

Shadow Mountain Management's National Provider Identifier is 1366430910, issued on Oct 7, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Canon City, CO. The record was last updated on Jan 28, 2026.