Organization Active NPI

Vitra Health, Inc.

  • Adult Care Home Facility
  • Braintree, MA
National Provider Identifier
1073887246
Registry record updated Oct 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
VITRA HEALTH, INC.
Practice address
150 Wood Road
Suite 201
Braintree, MA 02184
Phone
(508) 297-2022
Fax
(508) 689-7848
NPI assigned
Mar 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Max Voshchin
Title
President
Phone
(508) 297-2022

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Adult Care Home Facility 311ZA0620X MA Primary

Addresses

Primary practice location

150 Wood Road
Suite 201
Braintree, MA 02184

Mailing address

150 Wood Road
Suite 201
Braintree, MA 02184
Phone (508) 297-2022

Other identifiers 2

IdentifierTypeStateIssuer
110093684BMedicaidMA
110093684AMedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507766400000",
    "number": "1073887246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 WOOD ROAD",
            "address_2": "SUITE 201",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "02184",
            "telephone_number": "508-297-2022",
            "fax_number": "508-689-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 WOOD ROAD",
            "address_2": "SUITE 201",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "02184",
            "telephone_number": "508-297-2022",
            "fax_number": "508-689-7848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITRA HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2017-10-12",
        "status": "A",
        "authorized_official_last_name": "VOSHCHIN",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-297-2022",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110093684B",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110093684A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; 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.