Organization Active NPI

Serendib Health Care

  • In Home Supportive Care Agency
  • Waterbury, CT
National Provider Identifier
1457022840
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SERENDIB HEALTH CARE
Doing business as
serendib health care
Practice address
237 Ridgefield Ave
Waterbury, CT 06705-2754
Phone
(631) 949-7660
NPI assigned
Sep 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Authorized official

Name
Razeem Mohamed Ramshad, MD
Title
Administrator
Phone
(631) 949-7660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

237 Ridgefield Ave
Waterbury, CT 06705-2754

Mailing address

237 Ridgefield Ave
Waterbury, CT 06705-2754
Phone (631) 949-7660

Other names 1

  • serendib health care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1457022840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 RIDGEFIELD AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067052754",
            "telephone_number": "631-949-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 RIDGEFIELD AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067052754",
            "telephone_number": "631-949-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENDIB HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "RAMSHAD",
        "authorized_official_first_name": "RAZEEM",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "631-949-7660",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "serendib health care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.