AUDREY HOME AND HEALTHCARE SERVICES LLC
NPI 1730043118
Nurse Practitioner - Family in Hattiesburg, MS

Active since December 11, 2025
2122 OAK GROVE RD, HATTIESBURG, MS 39402(769) 353-8486 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 13, 2026, Mar 2, 2026, Dec 11, 2025 (3 updates tracked since 2025).

About Audrey Home And Healthcare Services Llc NPPES

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

AUDREY HOME AND HEALTHCARE SERVICES LLC (NPI 1730043118), doing business as Audrey Healthcare Llc, is a healthcare organization registered as a family in Hattiesburg, Mississippi and active in the NPI registry since December 2025. The organization lists Tavithia Heidelburg, Owner, as its authorized official.

NPPES Registry Identity

NPI1730043118
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameAUDREY HOME AND HEALTHCARE SERVICES LLC
Location Address2122 OAK GROVE RDHattiesburg, MS 39402-1571
Mailing AddressPo Box 261Brandon, MS 39043-0261 · (769) 353-8486
Organization SubpartNo
Authorized OfficialTavithia HeidelburgOwner · (769) 353-8486
Enumeration DateDecember 11, 2025
Last NPPES UpdateMarch 13, 20263 updates tracked since enumeration
NPPES CertifiedMarch 13, 2026
NPI 1730043118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
2122 OAK GROVE RD, Hattiesburg, MS 39402

Other Names 1

Former Legal Business NameAudrey Healthcare Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Audrey Home And Healthcare Services LLC's NPI number?

The NPI number for Audrey Home And Healthcare Services LLC is 1730043118. It was assigned to this organization in the NPPES registry on December 11, 2025. The provider was formerly known as Audrey Healthcare LLC.

Where is Audrey Home And Healthcare Services LLC located?

Audrey Home And Healthcare Services LLC is located at 2122 Oak Grove Rd, Hattiesburg, MS 39402. The listed phone number is (769) 353-8486.

What is Audrey Home And Healthcare Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Audrey Home And Healthcare Services LLC was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.