Organization Active NPI

Vatra Adhc, LLC

  • Adult Day Care Clinic/Center
  • Braintree, MA
National Provider Identifier
1740792852
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
VATRA ADHC, LLC
Practice address
50 Messina Dr
Braintree, MA 02184-6704
Phone
(617) 877-9126
NPI assigned
Oct 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

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

Authorized official

Name
Agron Gjerasi
Title
Administrator
Phone
(617) 877-9126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

50 Messina Dr
Braintree, MA 02184-6704

Mailing address

50 Messina Dr
Braintree, MA 02184-6704
Phone (617) 877-9126

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2142475Vatra Adhc, LLC50 Messina Dr, Braintree, MA 02184Certificate of waiverJan 10, 2028

National Provider Directory

National Provider Directory

Locations

50 Messina Dr
Braintree, MA 02184
Phone (617) 877-9126

NPI Registry JSON

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509321600000",
    "number": "1740792852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MESSINA DR",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021846704",
            "telephone_number": "617-877-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MESSINA DR",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021846704",
            "telephone_number": "617-877-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VATRA ADHC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A",
        "authorized_official_last_name": "GJERASI",
        "authorized_official_first_name": "AGRON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "617-877-9126"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.