HUDSON HOME 1 INC


Address: 750 Virginia Park St, Detroit, MI 48202-2033
Phone: 3138755499

HUDSON HOME 1 INC (NPI# 1619452588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619452588
Entity Type Organization
Organization Name HUDSON HOME 1 INC
Practice Address 750 Virginia Park St
Detroit
MI 48202-2033
Practice Telephone 3138755499
Practice Fax Number 3138755499
Mailing Telephone 3138755499
Mailing Fax Number 3138755499
Enumeration Date 2018-09-26
Last Update Date 2018-09-26
Authorized Official Name MRS. LILLAR M HUDSON (ADMINISTRATOR)
Authorized Official Telephone 3134073711
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 311ZA0620X Custodial Care Facility
Specialization: Adult Care Home
Nursing & Custodial Care Facilities

Office Location

Street Address 750 VIRGINIA PARK ST
City DETROIT
State MI
Zip Code 48202-2033

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710584602 Andrea Irene Martin Audiologist 2799 E Grand Blvd, Detroit, MI 48202 2020-10-05
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1912529801 Aroob Nabil Nimer Sweidan Student in an Organized Health Care Education/Training Program 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 2020-05-13
1306485636 Katie Burlen-davis Registered Nurse 9045 Woodward Ave, Detroit, MI 48202 2020-01-03
1407401250 Santhalakshmi Angappan Student in an Organized Health Care Education/Training Program Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 2019-08-08
1851945687 Walter Mitini Etoh Nurse Practitioner Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 2019-07-30
1467913756 Andrew Michael Schock Emergency Medicine Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 2019-03-28
1700363892 Zaid Al-saheli Student in an Organized Health Care Education/Training Program 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 2018-07-23
1932690096 Yusuf Naser Alalwan Student in an Organized Health Care Education/Training Program 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 2018-05-24
1568952729 Kelvin Sellers Massage Therapist 832 Seward, Detriot, MI 48202 2018-05-14
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Taxonomy Information

Taxonomy Code 311ZA0620X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility
Specialization Adult Care Home

Taxonomy Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

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1558837229 New Center Inn Company Custodial Care Facility 158 Pingree St, Detroit, MI 48202-2022 2018-10-19
1477029700 Acon Services, Inc. Custodial Care Facility 17126 Prevost St, Detroit, MI 48235-3551 2018-10-14
1578083077 New Advantage Inc. Custodial Care Facility 15375 Ardmore St, Detroit, MI 48227-3222 2017-06-26
1003348145 Reality Response LLC Custodial Care Facility 2455 W Grand St, Detroit, MI 48238-3445 2017-03-29
1376080614 Crystal Serenity House Custodial Care Facility 14241 Faust Ave Ste 200-b, Detroit, MI 48223-3574 2017-01-25
1225585250 Maan Down LLC Custodial Care Facility 16885 Ilene St, Detroit, MI 48221 2016-09-07
1881051712 Tasha Harris Custodial Care Facility 6402 Penrod St, Detroit, MI 48228-4748 2016-01-22
1619343431 Emani Nahchelle Pippen Custodial Care Facility 10326 Lanark St, Detroit, MI 48224-1231 2015-08-16
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Competitor

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City DETROIT
Zip Code 48202

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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