NPIMap

Organization Active NPI

Petra Health Care LLC

  • Home Health Agency
  • Southbridge, MA
National Provider Identifier
1427421262
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PETRA HEALTH CARE LLC
Practice address
331 Main St
Southbridge, MA 01550-3734
Phone
(978) 828-8322
NPI assigned
Nov 2, 2015
Organization subpart
Yes
Parent organization
PETRA HEALTH CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Authorized official

Name
John Wachira
Title
Owner
Phone
(978) 828-8322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

331 Main St
Southbridge, MA 01550-3734

Mailing address

331 Main St
Southbridge, MA 01550-3734
Phone (978) 828-8322

National Provider Directory

National Provider Directory
Part of
Petra Health Care LLC

Locations

55 Middlesex St
Unit 232
North Chelmsford, MA 01863
Phone (978) 996-9656

331 Main St
Southbridge, MA 01550
Phone (978) 828-8322

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1427421262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 MAIN ST",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015503734",
            "telephone_number": "978-828-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 MAIN ST",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015503734",
            "telephone_number": "978-828-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETRA HEALTH CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PETRA HEALTH CARE LLC",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "WACHIRA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-828-8322"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.