Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shabbona Supportive Living

Organization Assisted Living Facility · NPI 1366639833

Shabbona Supportive Living is an Assisted Living Facility in Shabbona, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007

Practice location Address checks out

407 W Comanche Ave
Shabbona, IL 60550-9501
Phone: (815) 824-8480
Fax: (815) 824-2412
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X (IL)

Record details

NPI number1366639833
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Delores Nicolson — Manager · (815) 824-8480
Other names None
NPI enumeratedSeptember 28, 2007
Last updated in NPPESApril 17, 2008
Mailing address407 W Comanche Ave, Shabbona, IL 60550-9501

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