Healthcare Provider Details
I. General information
NPI: 1033104732
Provider Name (Legal Business Name): HUDSON HOME HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/19/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
151 ROCKWELL RD
NEWINGTON CT
06111-5535
US
IV. Provider business mailing address
151 ROCKWELL RD
NEWINGTON CT
06111-5535
US
V. Phone/Fax
- Phone: 860-666-7500
- Fax: 860-666-7501
- Phone: 860-666-7500
- Fax: 860-666-7501
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
SHIRLEY
CURLEY
Title or Position: PRESIDENT
Credential:
Phone: 860-666-7500