Shady Oaks Assisted Living, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SHADY OAKS ASSISTED LIVING, LLC

Practice address

344 Stevens St
Bristol, CT 06010-2769

Phone

(860) 583-1526

NPI assigned

May 17, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tyson Belanger

Title

Owner & Director

Phone

(860) 583-1526

Specialties & licenses 2

Addresses

Tax ID family

Shady Oaks Assisted Living LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Shady Oaks Assisted Living, LLC

  • Point of Service
  • Bristol, CT
  • NPI 1326292590
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747440000000",
    "number": "1619769643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 STEVENS ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060102769",
            "telephone_number": "860-583-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 STEVENS ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060102769",
            "telephone_number": "860-583-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADY OAKS ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-17",
        "last_updated": "2025-05-17",
        "certification_date": "2025-05-17",
        "status": "A",
        "authorized_official_last_name": "BELANGER",
        "authorized_official_first_name": "TYSON",
        "authorized_official_title_or_position": "OWNER & DIRECTOR",
        "authorized_official_telephone_number": "860-583-1526"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Senhouse Counseling Services, LLC
• Jenna Marie September, OTR
• Jennifer Lynn Sers, APN, FNP-BC
• Seyi Adeyinka MD Psychiatrist, PLLC
• Shady Oaks Assisted Living, LLC
• Sidney Lee Shafran, O. D.
• Faiza Shaikh
• Balasubramanian Shanmugam, M.D.
• Archana Sharma, MD
• Hayley Shaw, FNP-BC

• Community Based Hospice Care Agency in Bristol, CT
• Providers in Bristol, CT by specialty
• Community Based Hospice Care Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.