OrganizationActive
Mudaris Healthcare LLC
NPI 1275428484 · Nursing Care Agency · Smyrna, GA
Mudaris Healthcare LLC is a Nursing Care Agency organization in Smyrna, GA (NPI 1275428484).
Provider details
- NPI number
- 1275428484
- Entity type
- Organization
- Primary specialty
- Nursing Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Andre Derricotte, Director(646) 420-3010
Specialties & taxonomies
Agencies
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4590 Valley Pkwy Se Apt E
Smyrna, GA 30082-4981
Phone: (646) 420-3010
Street-level locationGet directions
Mailing address
1300 Ridenour Blvd Nw Ste 100
Kennesaw, GA 30152-4528
Registry dates
- Enumerated
- 2025-06-09
- Last updated
- 2025-06-09
- Certified
- 2025-06-09
Frequently asked questions
- What is Mudaris Healthcare LLC's NPI number?
- Mudaris Healthcare LLC's National Provider Identifier (NPI) is 1275428484, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mudaris Healthcare LLC?
- Mudaris Healthcare LLC is classified in the NPPES registry as Nursing Care Agency (Agencies).
- Where is Mudaris Healthcare LLC located?
- Mudaris Healthcare LLC's practice location on file with NPPES is 4590 Valley Pkwy Se Apt E, Smyrna, GA 30082-4981.
- What is Mudaris Healthcare LLC's phone number?
- The practice phone number listed in the NPPES registry for Mudaris Healthcare LLC is (646) 420-3010.
- Who is the authorized official for Mudaris Healthcare LLC?
- The authorized official listed on Mudaris Healthcare LLC's NPPES record is Andre Derricotte, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mudaris Healthcare LLC's NPI active?
- Yes — Mudaris Healthcare LLC's NPI (1275428484) is active in the NPPES registry as of the last update on 2025-06-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.