SHADY OAKS ASSISTED LIVING, LLC
NPI 1326292590
Point of Service in Bristol, CT
NPI Status: Active since November 13, 2008
Contact Information
344 STEVENS ST
BRISTOL, CT
ZIP 06010
Phone: (860) 583-1526
Fax: (860) 583-1297
- Organization
- Point of Service
- CLIA Number: 07D2197458
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 10-25-2026
About SHADY OAKS ASSISTED LIVING, LLC
This page provides the complete NPI Profile along with additional information for Shady Oaks Assisted Living, Llc, a provider established in Bristol, Connecticut operating as a Point Of Service. The healthcare provider is registered in the NPI registry with number 1326292590 assigned on November 2008. The practitioner's primary taxonomy code is 305S00000X with license number 002 (CT). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mrs. Jean Patricia Belanger (Administrator)
- NPI
- 1326292590
- Provider Name
- SHADY OAKS ASSISTED LIVING, LLC
- Entity Type
- Organization
- Location Address
- 344 STEVENS ST BRISTOL, CT 06010
- Location Phone
- (860) 583-1526
- Location Fax
- (860) 583-1297
- Mailing Address
- 344 STEVENS ST BRISTOL, CT 06010
- Mailing Phone
- (860) 583-1526
- Mailing Fax
- (860) 583-1297
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-13-2008
- Last Update Date
- 11-13-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Point of Service
- Taxonomy Code
- 305S00000X
- Type
- Managed Care Organizations
- License No.
- 002
- License State
- CT
- Taxonomy Description
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 07D2197458
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- October 26, 2024
- Certificate Expiration Date
- October 25, 2026
- Laboratory Director
- TYSON F. BELANGER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Shady Oaks Assisted Living, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 2 | 6 | 2 | 9 | 2 | 5 | 9 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 4 | 6 | 4 | 9 | 4 | 5 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 4 + 6 + 4 + 9 + 4 + 5 + 1 + 8 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1326292590 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1619769643 | SHADY OAKS ASSISTED LIVING, LLC Organization | Hospice Care, Community Based | 344 STEVENS ST BRISTOL, CT 06010 (860) 583-1526 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326292590, enumerated in the NPI registry as an "organization" on November 13, 2008
The provider is located at 344 Stevens St Bristol, Ct 06010 and the phone number is (860) 583-1526
This medical organization specializes in Point of Service with taxonomy code 305S00000X
The provider's CLIA number is 07D2197458 for a "assisted living facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on November 13, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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