Hudson Health Care, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1751N Issued in OH

Legal business name

HUDSON HEALTH CARE, INC.

Practice address

563 W Streetsboro St
Hudson, OH 44236-2050

Phone

(330) 650-0436

Fax

(330) 650-6096

NPI assigned

May 2, 2006

Organization subpart

No

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

Authorized official

Name

Paul Bergsten

Title

VP

Phone

(937) 825-6622

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hudson Elms Nursing Home Doing business as

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479340800000",
    "number": "1366400103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 ENTERPRISE DR",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430359704",
            "telephone_number": "937-825-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 W STREETSBORO ST",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442362050",
            "telephone_number": "330-650-0436",
            "fax_number": "330-650-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2016-11-17",
        "status": "A",
        "authorized_official_last_name": "BERGSTEN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "937-825-6622"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1751N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2659485",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hudson Elms Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hudson Elms Opco, LLC
• Hudson Elms Opco, LLC
• Hudson Family Health Center, Inc.
• Hudson Family Practice, Inc
• Hudson Health and Rehabilitation Center, Inc.
• Hudson Laboratories Inc
• Hudson Laboratory Inc
• Hudson Optometric Centre
• Hudson Podiatry LLC
• Colleen Hughes, NP

• All providers in Hudson, OH
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.