AUDREY HOME AND HEALTHCARE SERVICES LLC
NPI 1730043118
Nurse Practitioner - Family in Hattiesburg, MS
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
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Audrey Home And Healthcare Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Audrey Home And Healthcare Services LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Audrey Home And Healthcare Services LLC enrolled in Medicare?
Yes. Audrey Home And Healthcare Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Audrey Home And Healthcare Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Audrey Home And Healthcare Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 7 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.
# Audrey Home And Healthcare Services Llc · NPI 1730043118
Family organization in Hattiesburg, Mississippi. Organization record, active in the CMS NPPES registry since December 11, 2025.
## Identity
- **NPI:** 1730043118 (Entity type: Organization)
- **Enumerated:** December 11, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Also known as:** Audrey Healthcare LLC (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Tavithia Heidelburg, OWNER
## Practice location
- **Address:** 2122 OAK GROVE RD, Hattiesburg, MS 39402-1571
- **Phone:** (769) 353-8486
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1730043118) · Data from the CMS NPPES public registry.