Shady Oaks Assisted Living, LLC
NPI 1619769643ActiveOrganization· Hospice Care, Community Based· Bristol, CT
Hospice Care, Community Based in Bristol, Connecticut, registered in NPPES in May 2025. The authorized official on file is Tyson Belanger, Owner & Director.
Overview
| NPI | 1619769643 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 17, 2025 |
| Last updated in NPPES | May 17, 2025 |
| Certified by provider | May 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Hospice Care, Community Based Primary | 251G00000X | — | — |
| Home Health | 251E00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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