Healthcare Provider Details

I. General information

NPI: 1487448627
Provider Name (Legal Business Name): AL SHIFA SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2025
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 BOSTON POST RD STE DOFFICE4
ORANGE CT
06477-3504
US

IV. Provider business mailing address

325 BOSTON POST RD STE DOFFICE4
ORANGE CT
06477-3504
US

V. Phone/Fax

Practice location:
  • Phone: 203-941-1200
  • Fax: 203-941-1300
Mailing address:
  • Phone: 203-941-1200
  • Fax: 203-941-1300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: FATEHA ALAM
Title or Position: PRESIDENT
Credential:
Phone: 203-941-1200