Shabbona Supportive Living in Shabbona - Assisted Living Facility
Shabbona Supportive Living - NPI 1538338363
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 1538338363. The last update date is 2022-07-21.
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 | 1538338363 |
|---|---|
| Provider Enumeration Date | 2008-02-26 |
| Last Updated Date | 2022-07-21 |
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. |
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What is the unique 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) 1538338363. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Shabbona Supportive Living's facilities are geographically located?
The facilities of Shabbona Supportive Living are physically situated at the following location: 407 W Comanche Ave, Shabbona, IL, 605509501.
What is Shabbona Supportive Living's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shabbona Supportive Living's area of specialization is Assisted Living Facility, and the corresponding taxonomy code that categorizes this field of practice is 310400000X.
When was the Shabbona Supportive Living's 1538338363 issued?
The Shabbona Supportive Living's 1538338363 was issued on 2008-02-26.
As of what date were the details pertaining to Shabbona Supportive Living last refreshed?
The information related to the Shabbona Supportive Living, including its address, specialty, and other relevant details, was last updated on 2022-07-21.