Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Petra Homecare Services LLC

Organization Home Health Agency · NPI 1962395970

Petra Homecare Services LLC is a Home Health Agency in Blaine, Minnesota. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12856 Mankato St NE
Blaine, MN 55449-4936
Phone: (612) 390-4489
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X
Nursing Care Agency Taxonomy 251J00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
In Home Supportive Care Agency Taxonomy 253Z00000X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Respite Care Taxonomy 385H00000X

Record details

NPI number1962395970
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Fleck — Owner · (612) 390-4489
Other names Petra Recuperative Care Services
NPI enumeratedMay 29, 2025
Last updated in NPPESJuly 25, 2026
Certification dateJuly 25, 2026
Mailing address12856 Mankato St Ne, Blaine, MN 55449-4936

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