Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PETRA HOMECARE SERVICES LLC
NPI 1962395970
Home Health in Blaine, MN

Q: What is Petra Homecare Services LLC's NPI number?

The NPI number for Petra Homecare Services LLC is 1962395970. It was assigned to this organization in the NPPES registry on May 29, 2025.

Q: What is Petra Homecare Services LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since May 29, 2025

12856 MANKATO ST NE, BLAINE, MN 55449(612) 390-4489 Get Directions Write a Review

NPPES record last updated: July 25, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 25, 2026, May 29, 2025 (2 updates tracked since 2025).

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About Petra Homecare Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETRA HOMECARE SERVICES LLC (NPI 1962395970) is a healthcare organization registered as a home health in Blaine, Minnesota and active in the NPI registry since May 2025. The organization lists Elizabeth Nana Yaa Fleck, Owner, as its authorized official.

NPPES Registry Identity

NPI1962395970

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NamePETRA HOMECARE SERVICES LLC

Location Address12856 MANKATO ST NEBlaine, MN 55449-4936

Mailing Address12856 Mankato St NeBlaine, MN 55449-4936 · (612) 390-4489

Phone(612) 390-4489

Organization SubpartNo

Authorized OfficialElizabeth Nana Yaa FleckOwner · (612) 390-4489

Enumeration DateMay 29, 2025

Last NPPES UpdateJuly 25, 20262 updates tracked since enumeration

NPPES CertifiedJuly 25, 2026

✔ NPI 1962395970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Also ListedNursing CareTaxonomy 251J00000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedIn Home Supportive CareTaxonomy 253Z00000X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedRespite CareTaxonomy 385H00000X

12856 MANKATO ST NE, Blaine, MN 55449

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Petra Homecare Services LLC's NPI number?

The NPI number for Petra Homecare Services LLC is 1962395970. It was assigned to this organization in the NPPES registry on May 29, 2025.

Where is Petra Homecare Services LLC located?

Petra Homecare Services LLC is located at 12856 Mankato St NE, Blaine, MN 55449. The listed phone number is (612) 390-4489.

What is Petra Homecare Services LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Petra Homecare Services LLC was last updated on July 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.