Provider Demographics
NPI:1235643289
Name:HUDSON HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:HUDSON HOME HEALTH CARE, INC.
Other - Org Name:NATIONAL SEATING & MOBILITY NE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:MATUKEWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-756-2268
Mailing Address - Street 1:151 ROCKWELL RD
Mailing Address - Street 2:
Mailing Address - City:NEWINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06111-5535
Mailing Address - Country:US
Mailing Address - Phone:860-666-7500
Mailing Address - Fax:
Practice Address - Street 1:625 BROADWAY UNIT C
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-3375
Practice Address - Country:US
Practice Address - Phone:833-240-7292
Practice Address - Fax:207-560-9922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-29
Last Update Date:2018-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies