Maddie'S Daughter LLC

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

MADDIE'S DAUGHTER LLC

Practice address

122 Stroud LN
East Stroudsburg, PA 18302-6620

Phone

(908) 328-6003

NPI assigned

Jun 29, 2026

Organization subpart

No

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

Authorized official

Name

Hardene Etienne, RN, MBA, MSN, CHCMNPI 1053703736

Title

Owner

Phone

(908) 328-6003

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hardene Etienne, REGISTERED NURSE (RN

  • Registered Nurse
  • East Stroudsburg, PA
  • NPI 1053703736
  NPD (past) Authorized official

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

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1306763669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 STROUD LN",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183026620",
            "telephone_number": "908-328-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 STROUD LN",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183026620",
            "telephone_number": "908-328-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADDIE'S DAUGHTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "ETIENNE",
        "authorized_official_first_name": "HARDENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-328-6003",
        "authorized_official_credential": "RN, MBA, MSN, CHCM"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ollie Lumby
• LVHN Coordinated Professional Practice
• Fenella Lynch, FNP
• M. Azhar Chaudhry M.D. Inc.
• Ryan Mackiewicz
• Thomas John Magdelinskas III, CRNA
• Leah Paige Makarevich
• Robert James Malcolm III, MD
• Hussain G Malik, M.D., FACS
• Javed I. Malik, MD

• Case Manager/Care Coordinator in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• Case Manager/Care Coordinator in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.