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MUDARIS HEALTHCARE LLC
NPI 1275428484
Nursing Care in Smyrna, GA

Active since June 09, 2025
4590 VALLEY PKWY SE APT E, SMYRNA, GA 30082(646) 420-3010 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mudaris Healthcare Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MUDARIS HEALTHCARE LLC (NPI 1275428484) is a healthcare organization registered as a nursing care in Smyrna, Georgia and active in the NPI registry since June 2025. The organization lists Andre Derricotte, Director, as its authorized official.

NPPES Registry Identity

NPI1275428484
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NameMUDARIS HEALTHCARE LLC
Location Address4590 VALLEY PKWY SE APT ESmyrna, GA 30082-4981
Mailing Address1300 Ridenour Blvd Nw Ste 100Kennesaw, GA 30152-4528 · (470) 995-1258
Phone(646) 420-3010
Organization SubpartNo
Authorized OfficialAndre DerricotteDirector · (646) 420-3010
Enumeration DateJune 9, 2025
NPPES CertifiedJune 9, 2025
✔ NPI 1275428484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
4590 VALLEY PKWY SE APT E, Smyrna, GA 30082
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mudaris Healthcare LLC's NPI number?

The NPI number for Mudaris Healthcare LLC is 1275428484. It was assigned to this organization in the NPPES registry on June 9, 2025.

Where is Mudaris Healthcare LLC located?

Mudaris Healthcare LLC is located at 4590 Valley Pkwy SE Apt E, Smyrna, GA 30082. The listed phone number is (646) 420-3010.

What is Mudaris Healthcare LLC's specialty?

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

When was this NPI record last updated?

The NPPES record for Mudaris Healthcare LLC was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.