William Hudak Jr.

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

0333791 Issued in OH

Practice address

2805 Bears Den CT
Youngstown, OH 44511-1213

Phone

(330) 792-8761

NPI assigned

Dec 28, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1205423183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 BEARS DEN CT",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445111213",
            "telephone_number": "133-079-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 BEARS DEN CT",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445111213",
            "telephone_number": "330-792-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDAK",
        "first_name": "WILLIAM",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "0333791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bigwho2you@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2805 Bears Den Ct",
            "city": "Youngstown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "445111213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Huber Medical LLC
• Huber Medical LLC
• Michaela Marie Huber
• Miranda Hubler, MOT, OTR/L
• Peggy Hudak
• Charles W. Hudson
• Daqueza Hudson
• Phillip N Hudson
• Rochelle Hudson
• Shonnita Hudson, LPN

• Home Health Aide in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.