Nerudo LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

NERUDO LLC

Practice address

1317 Moose Ridge LN
Westfield, IN 46074-7658

Phone

(317) 689-9643

NPI assigned

Apr 3, 2025

Organization subpart

No

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

Authorized official

Name

Muchineripi Edgar Gora

Title

Administrator

Phone

(317) 689-9643

Specialties & licenses 1

Addresses

Other names 1

• N/A Other name

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

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1386448769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 MOOSE RIDGE LN",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460747658",
            "telephone_number": "317-689-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 MOOSE RIDGE LN",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460747658",
            "telephone_number": "317-689-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NERUDO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "GORA",
        "authorized_official_first_name": "MUCHINERIPI",
        "authorized_official_middle_name": "EDGAR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "317-689-9643"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.