SHADOW MOUNTAIN RECOVERY LLC.
NPI: 1952973505
· RIO RANCHO, NM 87144
· Substance Abuse Rehabilitation Facility
· NPI assigned 07/13/2021
Provider Details
| Authorized Official | HOLUB, JACKIE (VP, OPERATIONS) |
| NPI Enumeration Date | 07/13/2021 |
Related Entities
Other providers sharing the same authorized official: HOLUB, JACKIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
80 |
$32K |
| 2024 |
151 |
$66K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0017 |
Behavioral health; residential (hospital residential treatment program), without room and board, per diem |
231 |
41 |
$99K |