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SHADY COTTAGE
NPI 1700212248
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Belleville, KS

Active since September 16, 2013
1411 17TH ST, BELLEVILLE, KS 66935(785) 527-2650 Get Directions Write a Review

NPPES record last updated: November 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shady Cottage NPPES

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

SHADY COTTAGE (NPI 1700212248) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Belleville, Kansas and active in the NPI registry since September 2013. The organization lists Samantha Jane Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1700212248
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameSHADY COTTAGE
Location Address1411 17TH STBelleville, KS 66935-3028
Mailing Address1302 K StBelleville, KS 66935-1801 · (785) 527-2729
Phone(785) 527-2650
Organization SubpartNo
Authorized OfficialSamantha Jane ClarkOwner · (785) 527-2729
Enumeration DateSeptember 16, 2013
Last NPPES UpdateNovember 4, 2019
✔ NPI 1700212248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
1411 17TH ST, Belleville, KS 66935
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Other Identifiers 1

Other200688530BKS · Kmap Id Number

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 Cottage's NPI number?

The NPI number for Shady Cottage is 1700212248. It was assigned to this organization in the NPPES registry on September 16, 2013.

Where is Shady Cottage located?

Shady Cottage is located at 1411 17th St, Belleville, KS 66935. The listed phone number is (785) 527-2650.

What is Shady Cottage's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Shady Cottage was last updated on November 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.