Exodus Flex Holding LLC

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

EXODUS FLEX HOLDING LLC

Practice address

22101 Town Walk Dr
Hamden, CT 06518-3759

Phone

(203) 767-4666

NPI assigned

Aug 9, 2025

Last updated

Aug 9, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Blain, LPNNPI 1902781768

Title

Licensed Practical Nurse

Phone

(203) 767-4666

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Blain, LPN

  • Licensed Practical Nurse
  • Hamden, CT
  • NPI 1902781768

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1754697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754697600000",
    "number": "1164307922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22101 TOWN WALK DR",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183759",
            "telephone_number": "203-767-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22101 TOWN WALK DR",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183759",
            "telephone_number": "203-767-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXODUS FLEX HOLDING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-09",
        "last_updated": "2025-08-09",
        "certification_date": "2025-08-09",
        "status": "A",
        "authorized_official_last_name": "BLAIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "LICENSED PRACTICAL NURSE",
        "authorized_official_telephone_number": "203-767-4666",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2025; 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.