Healthcare Provider Details

I. General information

NPI: 1619839982
Provider Name (Legal Business Name): CENTRA HOME-CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2025
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 VALLEY ST # C
WILLIMANTIC CT
06226-2653
US

IV. Provider business mailing address

919 MAIN ST UNIT 863
WILLIMANTIC CT
06226-7737
US

V. Phone/Fax

Practice location:
  • Phone: 959-260-9498
  • Fax: 959-260-9498
Mailing address:
  • Phone: 959-260-9511
  • Fax: 959-260-9511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: UNITA C JONES
Title or Position: DIRECTOR OF SERVICES
Credential:
Phone: 959-260-9498