SHADY OAKS ASSISTED LIVING, LLC
NPI 1326292590
Point of Service in Bristol, CT

Active since November 13, 2008CLIA 07D2197458 · Waiver
344 STEVENS ST, BRISTOL, CT 06010(860) 583-1526(860) 583-1297 Get Directions Write a Review

NPPES record last updated: November 13, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shady Oaks Assisted Living, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHADY OAKS ASSISTED LIVING, LLC (NPI 1326292590) is a healthcare organization registered as a point of service in Bristol, Connecticut and active in the NPI registry since November 2008. The organization holds a CLIA Waiver certificate valid through October 25, 2026 and lists Jean Patricia Belanger, Administrator, as its authorized official.

NPPES Registry Identity

NPI1326292590
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameSHADY OAKS ASSISTED LIVING, LLC
Location Address344 STEVENS STBristol, CT 06010-2769
Mailing Address344 Stevens StBristol, CT 06010-2769 · (860) 583-1526 · Fax (860) 583-1297
Fax(860) 583-1297
Organization SubpartNo
Authorized OfficialJean Patricia BelangerAdministrator · (860) 583-1526
Enumeration DateNovember 13, 2008
NPI 1326292590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
License Licensed in CT · 002
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
344 STEVENS ST, Bristol, CT 06010

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D2197458

Shady Oaks Assisted Living · Bristol, CT
Active · expires Oct 25, 2026
CLIA Number07D2197458
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 26, 2024
Certificate Expiration DateOctober 25, 2026
Laboratory DirectorTyson F. Belanger
Laboratory Phone(860) 583-1526
Laboratory LocationShady Oaks Assisted Living344 Stevens St, Bristol, CT 06010
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospice Care, Community Based
344 STEVENS ST
BRISTOL, CT 06010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shady Oaks Assisted Living, LLC's NPI number?

The NPI number for Shady Oaks Assisted Living, LLC is 1326292590. It was assigned to this organization in the NPPES registry on November 13, 2008.

Where is Shady Oaks Assisted Living, LLC located?

Shady Oaks Assisted Living, LLC is located at 344 Stevens St, Bristol, CT 06010. The listed phone number is (860) 583-1526.

What is Shady Oaks Assisted Living, LLC's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

Does Shady Oaks Assisted Living, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2197458) is associated with this NPI, valid through October 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shady Oaks Assisted Living, LLC was last updated on November 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.