Organization Active NPI

Dudley'S Home Health, Inc.

  • Home Health Agency
  • Mooresville, NC
National Provider Identifier
1083699607
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC2330 Issued in NC
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

Updated by the provider on Jul 16, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100183MedicaidNC
6696893OtherMSC CARE MANAGEMENT
3408727MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Dudley'S Home Health Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.