Damian Hudson

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

12733 W Holly St
Avondale, AZ 85392-6416

Phone

(602) 472-4723

NPI assigned

Sep 20, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Faithworx Companion Home Care LLC.

  • In Home Supportive Care Agency
  • Avondale, AZ
  • NPI 1205539459
  NPD Authorized official

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636761600000",
    "number": "1679243737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2942 N 24TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12733 W HOLLY ST",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853926416",
            "telephone_number": "602-472-4723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "DAMIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-11-13",
        "certification_date": "2021-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "fwcompanions@gmail.com",
            "affiliation": "N",
            "address_1": "12733 W Holly St",
            "city": "Avondale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853926416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Danielle Howell
• Heather Marie Howendobler, D.C., FIAMA
• Michelle D Howland, PA-C
• Mindy Huang, LCSW
• Amy M Huber, D.O.
• Dylan Huff, BCBA
• Teresa Grace Hughes
• Edward Huh, PHARMACIST
• Amy Lyn Humbert
• Beverly Hume

• Personal Care Attendant in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Personal Care Attendant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2021; 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.