Healthcare Provider Details

I. General information

NPI: 1922285741
Provider Name (Legal Business Name): HUDSON HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2008
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 INDUSTRIAL PARK DR UNIT 20
HOOKSETT NH
03106-1807
US

IV. Provider business mailing address

151 ROCKWELLL ROAD
NEWINGTON CT
06111
US

V. Phone/Fax

Practice location:
  • Phone: 603-627-8500
  • Fax: 603-626-0502
Mailing address:
  • Phone: 860-666-7500
  • Fax: 860-666-7501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier3121721
Identifier TypeMEDICAID
Identifier StateNH
Identifier Issuer
# 2
Identifier1922285741
Identifier TypeMEDICAID
Identifier StateME
Identifier Issuer
# 3
Identifier3124189
Identifier TypeMEDICAID
Identifier StateNH
Identifier Issuer
# 4
Identifier110029302F
Identifier TypeMEDICAID
Identifier StateMA
Identifier Issuer
# 5
Identifier1031593
Identifier TypeMEDICAID
Identifier StateVT
Identifier Issuer

VIII. Authorized Official

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