Healthcare Provider Details

I. General information

NPI: 1053987487
Provider Name (Legal Business Name): HUDSON HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2021
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 DOW RD
BOW NH
03304-3607
US

IV. Provider business mailing address

5959 SHALLOWFORD RD STE 443
CHATTANOOGA TN
37421-2245
US

V. Phone/Fax

Practice location:
  • Phone: 800-684-0270
  • Fax: 603-224-9875
Mailing address:
  • Phone: 423-756-2268
  • Fax: 423-385-2142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY MATUKEWICZ
Title or Position: CORPORATE SECRETARY
Credential:
Phone: 423-756-2268