Shaba Caregiving Agency LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SHABA CAREGIVING AGENCY LLC

Practice address

901 Bullock Ave
Yeadon, PA 19050-3714

Phone

(646) 373-0828

NPI assigned

May 21, 2025

Last updated

May 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fanta Barry Berete

Title

President

Phone

(646) 373-0828

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1205628609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 BULLOCK AVE",
            "city": "YEADON",
            "state": "PA",
            "postal_code": "190503714",
            "telephone_number": "646-373-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 BULLOCK AVE",
            "city": "YEADON",
            "state": "PA",
            "postal_code": "190503714",
            "telephone_number": "646-373-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHABA CAREGIVING AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "BARRY BERETE",
        "authorized_official_first_name": "FANTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-373-0828"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.