MEDICARE: NICOLA HUDSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator		OH
2	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1184517971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLA HUDSON

Provider Business Mailing Address
First Line	:	5210 PHILIP AVE
Second Line	:
City	:	MAPLE HEIGHTS
State	:	OH
Zip	:	44137-1448
Country	:	US
Telephone Number	:	216-315-6426
Fax Number	:

Provider Business Practice Location Address
First Line	:	5210 PHILIP AVE
Second Line	:
City	:	MAPLE HEIGHTS
State	:	OH
Zip	:	44137-1448
Country	:	US
Telephone Number	:	216-315-6426
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2025
Last Update Date	:	09/18/2025

Similar Medicare Providers

1285884619 — MEAGAN BUTLER RD
Practice Location Address:

89 FOREST AVE
BERKELEY HEIGHTS, NJ
07922-1448

Practice Phone: 908-723-0691
Practice Fax:

1821446105 — KASHARA ANNE JACOBS RN
Practice Location Address:

2383 NOBLE RD APT 4
CLEVELAND HEIGHTS, OH
44121-1448

Practice Phone: 216-501-2043
Practice Fax:

1932640927 — BART CASTILLO ATC
Practice Location Address:

7 W CAMPBELL ST , APT 15
ARLINGTON HEIGHTS, IL
60005-1448

Practice Phone: 224-632-3113
Practice Fax:

1124953666 — MARIKA DANAE NASEER
Practice Location Address:

15717 NORTHWOOD AVE
MAPLE HEIGHTS, OH
44137-3746

Practice Phone: 216-553-8847
Practice Fax:

1861495236 — DR. ANGELA M BENNETT M.D.
Practice Location Address:

5264 LEE RD
MAPLE HEIGHTS, OH
44137-1232

Practice Phone: 216-294-4440
Practice Fax: 216-249-6032

1043217409 — MAPLE HEALTH SERVICES, INC.
Practice Location Address:

16231 BROADWAY AVE
MAPLE HEIGHTS, OH
44137-2526

Practice Phone: 216-662-0551
Practice Fax: 216-662-7754

Directions to “ NICOLA HUDSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.