Petra Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PETRA HEALTH CARE LLC

Practice address

55 Middlesex St
Suite 232
North Chelmsford, MA 01863-1569

Phone

(978) 996-9656

NPI assigned

Apr 29, 2014

Last updated

Apr 29, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Wachira

Title

Ceo

Phone

(978) 282-8322

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Petra Health Care LLC

  • Home Health Agency
  • Southbridge, MA
  • NPI 1427421262
  NPPES parent name

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1598175671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MIDDLESEX ST",
            "address_2": "SUITE 232",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018631569",
            "telephone_number": "978-996-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MIDDLESEX ST",
            "address_2": "SUITE 232",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018631569",
            "telephone_number": "978-996-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETRA HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "WACHIRA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "978-282-8322"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in North Chelmsford, MA
• Providers in North Chelmsford, MA by specialty
• Home Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.