Organization Active NPI

Peridot Care Services LTD.

  • Home Health Agency
  • Dover, DE
National Provider Identifier
1093514523
Registry record updated Mar 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PERIDOT CARE SERVICES LTD.
Practice address
79 Seacroft Dr
Dover, DE 19904-3804
Phone
(302) 242-9622
NPI assigned
Mar 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2025

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

Authorized official

Name
Kafayat Agaba, BSN
Title
Registered Nurse
Phone
(302) 242-9622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

79 Seacroft Dr
Dover, DE 19904-3804

Mailing address

79 Seacroft Dr
Dover, DE 19904-3804
Phone (302) 242-9622

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1741392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741392000000",
    "number": "1093514523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 SEACROFT DR",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043804",
            "telephone_number": "302-242-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 SEACROFT DR",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043804",
            "telephone_number": "302-242-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIDOT CARE SERVICES LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-08",
        "last_updated": "2025-03-08",
        "certification_date": "2025-02-08",
        "status": "A",
        "authorized_official_last_name": "AGABA",
        "authorized_official_first_name": "KAFAYAT",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "302-242-9622",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.