Healthcare Provider Details

I. General information

NPI: 1992614184
Provider Name (Legal Business Name): SHANAV INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 HACKENSACK AVE STE 232
HACKENSACK NJ
07601-6451
US

IV. Provider business mailing address

411 HACKENSACK AVE STE 200
HACKENSACK NJ
07601-6451
US

V. Phone/Fax

Practice location:
  • Phone: 551-226-2305
  • Fax:
Mailing address:
  • Phone: 551-226-2305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: NAVIN MAHENDRANAUTH PERSAUD
Title or Position: PRESIDENT/CEO
Credential:
Phone: 551-226-2305