Shabbona Supportive Living
NPI 1538338363 · Assisted Living Facility · Shabbona, IL
Shabbona Supportive Living is a Assisted Living Facility organization in Shabbona, IL (NPI 1538338363).
Provider details
- NPI number
- 1538338363
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Parent organization
- Sw Management
- Organization subpart
- Yes
- Authorized official
- Delores Nicolson, Manager(815) 824-8480
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2008-02-26
- Last updated
- 2022-07-21
Frequently asked questions
- What is Shabbona Supportive Living's NPI number?
- Shabbona Supportive Living's National Provider Identifier (NPI) is 1538338363, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shabbona Supportive Living?
- Shabbona Supportive Living is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Shabbona Supportive Living located?
- Shabbona Supportive Living's practice location on file with NPPES is 407 W Comanche Ave, Shabbona, IL 60550-9501.
- What is Shabbona Supportive Living's phone number?
- The practice phone number listed in the NPPES registry for Shabbona Supportive Living is (815) 824-8480.
- Who is the authorized official for Shabbona Supportive Living?
- The authorized official listed on Shabbona Supportive Living's NPPES record is Delores Nicolson, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shabbona Supportive Living's NPI active?
- Yes — Shabbona Supportive Living's NPI (1538338363) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.