SHADY OAKS ASSISTED LIVING, LLC (NPI# 1326292590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326292590 |
| Entity Type | Organization |
| Organization Name | SHADY OAKS ASSISTED LIVING, LLC |
| Practice Address |
344 Stevens St Bristol CT 06010-2769 |
| Practice Telephone | 8605831526 |
| Practice Fax Number | 8605831297 |
| Mailing Telephone | 8605831526 |
| Mailing Fax Number | 8605831297 |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2008-11-13 |
| Authorized Official Name | MRS. JEAN PATRICIA BELANGER (ADMINISTRATOR) |
| Authorized Official Telephone | 8605831526 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 002 | CT | Managed Care Organizations |
| Street Address |
344 STEVENS ST |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010-2769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457991309 | A New Hope Caregiving Alliance LLC | Home Health | 225 North Main Street - Suite 107, Bristol, CT 06010 | 2020-01-08 |
| 1154981777 | Georgianna Sloate Lmft, LLC | Marriage & Family Therapist | 38 Kelley Street, Bristol, CT 06010 | 2019-06-17 |
| 1962062810 | Ariel Morley | Urology | 15 Riverside Avenue, Bristol, CT 06010 | 2019-06-13 |
| 1013439488 | Theresa Rose Manolitsis | Student in an Organized Health Care Education/Training Program | 170 Pondview Lane, Bristol, CT 06010 | 2017-07-07 |
| 1588103600 | Elizabeth Anne Costello | Pharmacist | 747 Pine Street, Bristol, CT 06010 | 2017-02-22 |
| 1992157903 | Aiman Riaz | Internal Medicine | 41 Brewster Rd # 5161, Bristol, CT 06010 | 2016-07-01 |
| 1346609955 | Monika Magdalena Sullivan | Nurse Practitioner | 122 Maple Street, Bristol, CT 06010 | 2016-02-11 |
| 1346660776 | Peter Bellezza | Podiatrist | 15 Riverside Ave, Bristol, CT 06010 | 2014-04-24 |
| 1487088001 | Stephen Alexander Merwin | Social Worker | 32 Laird Drive, Bristol, CT 06010 | 2013-08-30 |
| 1215369574 | In Kyung Lee | Dentist | 1192 Farmington Ave., Bristol, CT 06010 | 2013-08-08 |
| Find all providers in zip 06010 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| 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. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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| 1811434871 | Christina Skuburids, LLC | Point of Service | 2043 Bedford Street, Stamford, CT 06905 | 2017-01-27 |
| 1942685573 | Connecticut Companions and Homecare Services LLC. | Point of Service | 2490 Black Rock Tpke, Fairfield, CT 06825-2400 | 2015-07-24 |
| 1992184931 | Dr Zhus Wound Care | Point of Service | 1271 Flanders Rd, Southington, CT 06489-1614 | 2015-05-22 |
| 1780085001 | Preference Home Health Care | Point of Service | 58 Charter Ave, Waterbury, CT 06705-3014 | 2014-09-05 |
| 1215279948 | Pharmatiya Healthcare | Point of Service | 86 Robert Treat Drive, A, Milford, CT 06460 | 2013-03-20 |
| 1245578475 | Petalu'da Autism Services LLC | Point of Service | 6 Elizabeth Ln, Vernon, CT 06066-5056 | 2013-01-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.