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Contact Information

SHADY OAKS ASSISTED LIVING, LLC
344 STEVENS ST
BRISTOL, CT06010-2769
 Phone: 860-583-1526
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice Care, Community Based

251G00000X B4[14] Hospice
 

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for SHADY OAKS ASSISTED LIVING, LLC

NPI # 1619769643
LBN Legal business name SHADY OAKS ASSISTED LIVING, LLC
Authorized official TYSON BELANGER - (OWNER & DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/17/2025
Last updated 05/17/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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