OrganizationActive
Shabbona Supportive Living
NPI 1366639833 · Assisted Living Facility · Shabbona, IL
Provider details
- NPI number
- 1366639833
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Delores Nicolson, Manager(815) 824-8480
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
407 W Comanche Ave
Shabbona, IL 60550-9501
Phone: (815) 824-8480
Fax: (815) 824-2412
Street-level locationGet directions
Mailing address
407 W Comanche Ave
Shabbona, IL 60550-9501
Other names (DBA / former)
- Doing business as
- None
Registry dates
- Enumerated
- 2007-09-28
- Last updated
- 2008-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.