Senior Home Aide Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SENIOR HOME AIDE SERVICES LLC

Practice address

70 Wake St
Bridgeport, CT 06610-2390

Phone

(631) 949-5201

NPI assigned

Jun 24, 2024

Last updated

Jun 24, 2024By 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

Sheikh Mohammed Tanim Hassan

Title

President

Phone

(631) 949-5201

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1962246967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 WAKE ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102390",
            "telephone_number": "631-949-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 WAKE ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102390",
            "telephone_number": "631-949-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR HOME AIDE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "TANIM HASSAN",
        "authorized_official_first_name": "SHEIKH MOHAMMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-949-5201"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan A Selsky, MD
• Cory Seltman, PA-C
• Kavitha Selvaraj, MD
• Kimberly Dawn Selznick, CNM
• Brittany Nicole Sendzik
• Senior Serenity Home Care Limited Liability Company
• Ayla C Senna, MA, CCC-SLP
• Rossana Rusiana Seno, MD
• Scott Moohun Seo, M.D., PH.D.
• Noel Heriberto Sepulveda, D.C., M.S.

• In Home Supportive Care Agency in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• In Home Supportive Care Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.