Organization Active NPI

HD Enterprise LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Middletown, OH
National Provider Identifier
1083422299
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HD ENTERPRISE LLC
Practice address
732 Euclid Court
Suite L3
Middletown, OH 45044
Phone
(937) 751-3924
NPI assigned
Dec 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kimberly Handegard
Title
Founder, Ceo
Phone
(937) 751-3924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

732 Euclid Court
Suite L3
Middletown, OH 45044

Mailing address

PO Box 9
Middletown, OH 45042-0009
Phone (937) 751-3924

Other names 1

  • HD Life and Wellness Centers Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1083422299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450420009",
            "telephone_number": "937-751-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 EUCLID COURT",
            "address_2": "SUITE L3",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "45044",
            "telephone_number": "937-751-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HD ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "HANDEGARD",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "FOUNDER, CEO",
        "authorized_official_telephone_number": "937-751-3924"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HD Life and Wellness Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middletown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.