Active NPIOrganization

Shady Oaks Assisted Living, LLC

Point of Service in Bristol, Connecticut

NPI Number1326292590
Practice location
344 Stevens St, Bristol, CT 06010-2769
Fax
860-583-1297
Last updated
November 13, 2008

Shady Oaks Assisted Living, LLC is a healthcare organization based in Bristol, CT. Shady Oaks Assisted Living, LLC practices in Bristol, CT. The NPI Number for Shady Oaks Assisted Living, LLC is 1326292590 and holds a License No. 002 (CT). The current practice location address for Shady Oaks Assisted Living, LLC is 344 Stevens St, Bristol, CT 06010-2769 and can be reached out via phone at 860-583-1526 and via fax at 860-583-1297.

Provider Profile Details

NPI Number
1326292590
Provider Name
Shady Oaks Assisted Living, LLC
Provider Entity Type
Organization
Address
344 Stevens St, Bristol, CT 06010-2769
Phone Number
860-583-1526
Fax Number
860-583-1297
Primary Taxonomy
Point of Service · 305S00000X
Organization Subpart
No
Authorized Official
Mrs. Jean Patricia Belanger · Administrator · 860-583-1526
Provider Enumeration Date
November 13, 2008
Last Update Date
November 13, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
344 Stevens St
Bristol, CT 06010-2769
Zip
06010-2769
Phone Number
860-583-1526
Fax Number
860-583-1297
Bristol, CT 06010Get directions →

Provider Business Mailing Address Details

Address
344 Stevens St
Bristol, CT 06010-2769
City
Bristol
State
CT
Zip
06010-2769
Phone Number
860-583-1526
Fax Number
860-583-1297

License Information

License Number
002
License State
CT
Taxonomy
Point of Service · 305S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shady Oaks Assisted Living, LLC?

The NPI number of Shady Oaks Assisted Living, LLC is 1326292590. It was assigned on November 13, 2008 and is currently active in the NPPES registry.

What is the specialty of Shady Oaks Assisted Living, LLC?

Shady Oaks Assisted Living, LLC is registered under the primary taxonomy Point of Service (code 305S00000X), licensed in CT under license number 002.

Where does Shady Oaks Assisted Living, LLC practice?

The practice location is 344 Stevens St, Bristol, CT 06010-2769. The office can be reached at 860-583-1526 (phone) or 860-583-1297 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1326292590 directly on the NPPES registry website.

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