Organization Active NPI

Hudson Integrative Health Home, LLC

  • Home Modifications Contractor
  • Boulder, CO
National Provider Identifier
1972950053
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
Legal business name
HUDSON INTEGRATIVE HEALTH HOME, LLC
Doing business as
Hudson Integrative, LLC
Practice address
1200 28TH St
S-100
Boulder, CO 80303-1924
Phone
(303) 442-6444
Fax
(303) 442-4505
NPI assigned
May 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Authorized official

Name
Kellie HudsonNPI 1336501154
Title
Ceo
Phone
(303) 442-6444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171WH0202X Primary

Addresses

Primary practice location

1200 28TH St
S-100
Boulder, CO 80303-1924

Mailing address

1200 28TH St
S-100
Boulder, CO 80303-1924
Phone (303) 442-6444

Other names 1

  • Hudson Integrative, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1200 28th St
#S100
Boulder, CO 80303
Phone (303) 442-6444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1972950053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 28TH ST",
            "address_2": "S-100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031924",
            "telephone_number": "303-442-6444",
            "fax_number": "303-442-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 28TH ST",
            "address_2": "S-100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031924",
            "telephone_number": "303-442-6444",
            "fax_number": "303-442-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON INTEGRATIVE HEALTH HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-442-6444"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hudson Integrative, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.