Provider Demographics
NPI:1619232337
Name:HUDSON HEALTH AND REHABILITATION CENTER, INC.
Entity Type:Organization
Organization Name:HUDSON HEALTH AND REHABILITATION CENTER, INC.
Other - Org Name:HERITAGE OF HUDSON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:R. CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:BRENNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-292-5555
Mailing Address - Street 1:1212 BARLOW RD
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-3713
Mailing Address - Country:US
Mailing Address - Phone:330-650-0023
Mailing Address - Fax:330-650-0321
Practice Address - Street 1:1212 BARLOW RD
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44236-3713
Practice Address - Country:US
Practice Address - Phone:330-650-0023
Practice Address - Fax:330-650-0321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-09
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility