Basic Information
| Provider Information | |||||||||
| NPI: | 1730407768 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HUDSON HOME HEALTH CARE INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5959 SHALLOWFORD RD STE 443 | ||||||||
| Address2: | |||||||||
| City: | CHATTANOOGA | ||||||||
| State: | TN | ||||||||
| PostalCode: | 374212245 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4237562268 | ||||||||
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| Practice Location | |||||||||
| Address1: | 160 ALGONQUIN PKWY STE 2 | ||||||||
| Address2: | |||||||||
| City: | WHIPPANY | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 079811651 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9738524065 | ||||||||
| FaxNumber: | 9735751677 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/14/2010 | ||||||||
| LastUpdateDate: | 07/17/2020 | ||||||||
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| AuthorizedOfficialLastName: | MATUKEWICZ | ||||||||
| AuthorizedOfficialFirstName: | JEFFREY | ||||||||
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| AuthorizedOfficialTitleorPosition: | CORPORATE SECRETARY | ||||||||
| AuthorizedOfficialTelephone: | 4237562268 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | NATIONAL SEATING & MOBILITY, INC. | ||||||||
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| NPICertificationDate: | 07/17/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332B00000X | Y | Suppliers | Durable Medical Equipment & Medical Supplies |
No ID Information.