Shabbona Supportive Living in Shabbona - Assisted Living Facility
Shabbona Supportive Living - NPI 1366639833
Shabbona Supportive Living is a Assisted Living Facility in Shabbona, Illinois. Shabbona Supportive Living practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Shabbona Supportive Living is 1366639833. The last update date is 2008-04-17.
Shabbona Supportive Living's current location address is 407 W Comanche Ave, Shabbona, Illinois. You can contact this provider via phone number 8158248480 and fax number 8158242412. The mailing address for Shabbona Supportive Living is 407 W Comanche Ave, Shabbona, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shabbona Supportive Living |
|---|---|
| Address | 407 W Comanche Ave, Shabbona, Illinois |
| Phone Number | 8158248480 |
| Fax Number | 8158242412 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Nicolson J Delores |
| Telephone Number | 8158248480 |
NPI Number Detail
| NPI Number | 1366639833 |
|---|---|
| Provider Enumeration Date | 2007-09-28 |
| Last Updated Date | 2008-04-17 |
Provider Mailing Address Detail
| Address | 407 W Comanche Ave |
|---|---|
| City | Shabbona |
| State | Illinois (IL) |
| Post Code | 605509501 |
| Phone Number | 8158248480 |
| Fax Number | 8158242412 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
|
Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 204590974001 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Shabbona Supportive Living by the Centers for Medicare & Medicaid Services?
The Shabbona Supportive Living has been assigned the NPI (National Provider Identifier) 1366639833 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Shabbona Supportive Living is physically located?
The Shabbona Supportive Living is physically situated at the following address: 407 W Comanche Ave, Shabbona, IL, 605509501.
What is Shabbona Supportive Living's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shabbona Supportive Living's specialized field of practice is Assisted Living Facility, and the corresponding taxonomy code that categorizes this area of specialization is 310400000X.
On what date did the Shabbona Supportive Living receive its 1366639833 assignment from the Centers for Medicare & Medicaid Services?
The Shabbona Supportive Living was assigned its 1366639833 by the Centers for Medicare & Medicaid Services on 2007-09-28.
When was the information pertaining to Shabbona Supportive Living most recently updated or revised?
The details related to Shabbona Supportive Living, including its address, specialty, and other relevant information, were last updated or revised on 2008-04-17.