Active NPI
Dudley'S Home Health, Inc.
- Home Health Agency
- Mooresville, NC
National Provider Identifier
1083699607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HC2330
- Legal business name
- DUDLEY'S HOME HEALTH, INC.
- Practice address
- 223 Williamson Rd
Suite 102
Mooresville, NC 28117-6899 - Phone
- (704) 799-3363
- Fax
- (704) 799-3635
- NPI assigned
- Dec 7, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Londa Carr Dudley
- Title
- Ceo
- Phone
- (704) 799-3363
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HC2330 | NC | Primary |
| Home Infusion Agency | 251F00000X | HC2330 | NC |
Addresses
Primary practice location
223 Williamson Rd
Suite 102
Mooresville, NC 28117-6899
Mailing address
223 Williamson Rd
Suite 102
Mooresville, NC 28117-6899
Phone (704) 799-3363
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100183 | Medicaid | NC | |
| 6696893 | Other | MSC CARE MANAGEMENT | |
| 3408727 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Dudley'S Home Health Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Mooresville, NC
- NPI 1669502613
Locations
223 Williamson Rd
Ste 102
Mooresville, NC 28117
Phone (704) 737-2440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1373932800000",
"number": "1083699607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 WILLIAMSON RD",
"address_2": "SUITE 102",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281176899",
"telephone_number": "704-799-3363",
"fax_number": "704-799-3635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 WILLIAMSON RD",
"address_2": "SUITE 102",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281176899",
"telephone_number": "704-799-3363",
"fax_number": "704-799-3635"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUDLEY'S HOME HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-07",
"last_updated": "2013-07-16",
"status": "A",
"authorized_official_last_name": "DUDLEY",
"authorized_official_first_name": "LONDA",
"authorized_official_middle_name": "CARR",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "704-799-3363",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC2330",
"primary": true
},
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": "NC",
"license": "HC2330",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100183",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MSC CARE MANAGEMENT",
"identifier": "6696893",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3408727",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.