Healthcare Provider Details

I. General information

NPI: 1881517654
Provider Name (Legal Business Name): SHEKINAH HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

423 EDGEWOOD ST
HARTFORD CT
06112-2004
US

IV. Provider business mailing address

423 EDGEWOOD ST
HARTFORD CT
06112-2004
US

V. Phone/Fax

Practice location:
  • Phone: 860-539-1754
  • Fax:
Mailing address:
  • Phone: 860-539-1754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. RAJRANIE BUSGITH
Title or Position: ADMINISTRATOR
Credential:
Phone: 860-539-1754