Shadow Mountain Recovery, University Park – Substance Abuse Rehabilitation Facility, NPI 1164896197

Shadow Mountain Recovery, University Park is a healthcare provider. based in Birmingham, Alabama. specializing in Substance Abuse Rehabilitation Facility. The NPI Number for Shadow Mountain Recovery, University Park is 1164896197

Main info

Organization
Name
Shadow Mountain Recovery, University Park
NPI
1164896197
Phone
(931) 451-7757
Address
PO BOX 830525
Authorized Official
JACKIE HOLUB VICE PRESIDENT
Enumeration Date
13 November 2015
Last Update Date
27 April 2017
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness80
Years active:10State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Shadow Mountain Recovery, University Park

  • PO BOX 830525

    DPEARTMENT # SF 59

    BIRMINGHAM, AL 352830525

    Phone: (931) 451-7757

    Fax: (931) 933-7762

    Type: Mailing

  • 2102 UNIVERSITY PARK BLVD.

    COLORADO SPRINGS, CO 80918

    Phone: (719) 266-8876

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35283)

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Reviews

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Frequently asked questions

What federal number belongs to Shadow Mountain Recovery, University Park?
The federal identifier for Shadow Mountain Recovery, University Park is NPI 1164896197.
Is Shadow Mountain Recovery, University Park currently active in the NPI registry?
CMS-published data lists Shadow Mountain Recovery, University Park as an active registrant.
What does Shadow Mountain Recovery, University Park treat or focus on?
Patients typically see Shadow Mountain Recovery, University Park under the specialty Substance Abuse Rehabilitation Facility. Clinical services aligned with this taxonomy classification.
Where is Shadow Mountain Recovery, University Park's primary listing?
We display Birmingham, Alabama because that is what the record indicates for Shadow Mountain Recovery, University Park.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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