Terrell Hudson
Individual provider Active NPI Case Manager/Care Coordinator · Etna, OH
NPI 1275199788 · NPPES record last updated May 10, 2019
Key facts
- NPI
- 1275199788
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 276 Glen Crossing Dr
Etna, OH 43062-7138 - Phone
- (614) 749-1665
- NPI assigned
- May 10, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
276 Glen Crossing Dr
Etna, OH 43062-7138
Mailing address
276 Glen Crossing Dr
Etna, OH 43062-7138
Other providers in Etna, OH
- Leah Herbert
- Robyn Hoffman
- Holistic ABA of Central Ohio, LLC
- Sharona Hospodar
- Aubrey Lee Hoyt
- Stephanie Lynn Hukle
- Katrina Hutchison
- Gina Infantino
- Intra-National Home Care, LLC
- Intra-National Home Care, LLC
All providers in Etna, OH · Case Manager/Care Coordinator in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.