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SHADY GROVE FARM AND WELLNESS CENTER
NPI 1326388331
Early Intervention Provider Agency in Peru, NY

Active since February 28, 2013
844 STATE ROUTE 22B, PERU, NY 12972(518) 569-3440 Get Directions Write a Review

NPPES record last updated: February 28, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shady Grove Farm And Wellness Center NPPES

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

SHADY GROVE FARM AND WELLNESS CENTER (NPI 1326388331) is a healthcare organization registered as an early intervention provider agency in Peru, New York and active in the NPI registry since February 2013. The organization lists Karen M Bouchard-braun, President, as its authorized official.

NPPES Registry Identity

NPI1326388331
Entity TypeOrganization
Primary Taxonomy252Y00000X
Legal Business NameSHADY GROVE FARM AND WELLNESS CENTER
Location Address844 STATE ROUTE 22BPeru, NY 12972-5421
Mailing Address844 State Route 22bPeru, NY 12972-5421 · (518) 569-3440
Phone(518) 569-3440
Organization SubpartNo
Authorized OfficialKaren M Bouchard-braunPresident · (518) 569-3440
Enumeration DateFebruary 28, 2013
✔ NPI 1326388331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEarly Intervention Provider AgencyAgencies
Taxonomy Code252Y00000X
License✔ Licensed in NY · 011853-1
Definition
Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children's needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development.
844 STATE ROUTE 22B, Peru, NY 12972
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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 Grove Farm And Wellness Center's NPI number?

The NPI number for Shady Grove Farm And Wellness Center is 1326388331. It was assigned to this organization in the NPPES registry on February 28, 2013.

Where is Shady Grove Farm And Wellness Center located?

Shady Grove Farm And Wellness Center is located at 844 State Route 22B, Peru, NY 12972. The listed phone number is (518) 569-3440.

What is Shady Grove Farm And Wellness Center's specialty?

The primary specialty registered for this NPI is Early Intervention Provider Agency with taxonomy code 252Y00000X.

When was this NPI record last updated?

The NPPES record for Shady Grove Farm And Wellness Center was last updated on February 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.