Organization
SHADOW MOUNTAIN MANAGEMENT
Active
Other names
Hildebrand Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHELBY TOWNSEND (BUSINESS OFFICE MANAGER)
(719) 275-8656
Entity
Organization
Contact information
Practice address
1401 PHAY AVE, CANON CITY, CO 81212-2303
(719) 275-8656
Mailing address
1401 PHAY AVE, CANON CITY, CO 81212-2303
(719) 275-8656
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0055
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05653571
—
CO
01
—
42337071
RESPITE PROVIDER NUMBER
CO
Enumeration date
10/07/2005
Last updated
01/28/2026
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