Hudson Home 1 Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

HUDSON HOME 1 INC

Practice address

750 Virginia Park St
Detroit, MI 48202-2033

Phone

(313) 875-5499

Fax

(313) 875-5499

NPI assigned

Sep 26, 2018

Last updated

Sep 26, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lillar M Hudson

Title

Administrator

Phone

(313) 407-3711

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537920000000",
    "number": "1619452588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 VIRGINIA PARK ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022033",
            "telephone_number": "313-875-5499",
            "fax_number": "313-875-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 VIRGINIA PARK ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022033",
            "telephone_number": "313-875-5499",
            "fax_number": "313-875-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON HOME 1 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-09-26",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "LILLAR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "313-407-3711",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julian H Hudgens
• Selena J Hudgens
• Bernadette Angelic Hudgins
• Maxine Gail Hudgins, LMSW
• Michael Charles Hudgins, DDS
• Dora Nicole Hudson Ngwu, LPC
• Margaret Elizabeth Hudson-Collins, M.D.
• Brandon B Hudson, MD
• Charmaine Munn Hudson, NP
• Denise Hudson, SST

• Adult Care Home Facility in Detroit, MI
• Providers in Detroit, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.