Edwin Wudyka

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

44004 Woodward Ave
Suite 100
Bloomfield Hills, MI 48302-5031

Phone

(248) 952-9944

Fax

(248) 952-9947

NPI assigned

Jan 6, 2017

Last updated

Jun 17, 2020By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ew Home Care Corp

  dba BrightStar Care of Birmingham MI

  • Home Health Agency
  • Bloomfield Hills, MI
  • NPI 1942826805
  NPD Authorized official

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1356887913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44004 WOODWARD AVE",
            "address_2": "SUITE 100",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025031",
            "telephone_number": "248-952-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44004 WOODWARD AVE",
            "address_2": "SUITE 100",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025031",
            "telephone_number": "248-952-9944",
            "fax_number": "248-952-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUDYKA",
        "first_name": "EDWIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-06",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1356887913",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evan M Woolford, DPT
• Nichole Lynn Worthing, PA-C
• Jaclyn Wrase, MS, RDN
• Tami Ann Wright, PH.D., LPC, SCL
• Susanna Wu Shuxuan Wu
• Barbara Lee Yakes, D.O.
• Anthony Yaldo, DDS
• Ashley Ron Yaldo, LLCSW
• Jevon Nicole Yaldo, PHARM.D.
• Yatinder M Singhal MD PC

• Home Health Agency in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.