Centra Home Health Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CENTRA HOME HEALTH CARE, LLC

Practice address

4745 Legare LN
Columbus, OH 43230

Phone

(409) 454-5611

NPI assigned

Sep 5, 2017

Last updated

Sep 5, 2017By 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

Karen Danise Mabatah, REGISTERED NURSE

Title

Chief Executive Officer

Phone

(409) 454-5611

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504569600000",
    "number": "1760900211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 LEGARE LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432306387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 LEGARE LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43230",
            "telephone_number": "409-454-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRA HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-05",
        "last_updated": "2017-09-05",
        "status": "A",
        "authorized_official_last_name": "MABATAH",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "DANISE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "409-454-5611",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.