Individual provider Active NPI

Elena Petrenko, MS.HCA

  • Home Health Aide
  • Simsbury, CT
National Provider Identifier
1720731540
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
96 County Rd
Simsbury, CT 06070-1245
Phone
(203) 680-9148
Fax
(860) 217-1507
NPI assigned
Feb 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Chore ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 372500000X
Adult Companion 372600000X
Homemaker 376J00000X
Respite Care 385H00000X
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

96 County Rd
Simsbury, CT 06070-1245

Mailing address

PO Box 985
Simsbury, CT 06070-7285
Phone (203) 680-9148

Other names 1

  • Elena Petrenko Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Era LLC Dba Home Helpers and Direct Link CurrentSince Apr 30, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1720731540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 985",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060707285",
            "telephone_number": "203-680-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 COUNTY RD",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060701245",
            "telephone_number": "203-680-9148",
            "fax_number": "860-217-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRENKO",
        "first_name": "ELENA",
        "name_prefix": "Miss",
        "credential": "MS.HCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELENA",
            "last_name": "PETRENKO",
            "credential": "MS.HCA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Simsbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.