Healthcare Provider Details

I. General information

NPI: 1295643203
Provider Name (Legal Business Name): SHAYAN SENIOR CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WATERVIEW DR STE 101
SHELTON CT
06484-4368
US

IV. Provider business mailing address

1 WATERVIEW DR STE 101
SHELTON CT
06484-4368
US

V. Phone/Fax

Practice location:
  • Phone: 203-673-2770
  • Fax:
Mailing address:
  • Phone: 203-673-2770
  • 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: BUSHRA BABAR
Title or Position: OWNER
Credential:
Phone: 203-673-2770