Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mudaris Healthcare LLC

Organization Nursing Care Agency · NPI 1275428484

Mudaris Healthcare LLC is a Nursing Care Agency in Smyrna, Georgia. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4590 Valley Pkwy SE Apt E
Smyrna, GA 30082-4981
Phone: (646) 420-3010
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nursing Care Agency (primary) Taxonomy 251J00000X

Record details

NPI number1275428484
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andre Derricotte — Director · (646) 420-3010
NPI enumeratedJune 9, 2025
Last updated in NPPESJune 9, 2025
Certification dateJune 9, 2025
Mailing address1300 Ridenour Blvd Nw Ste 100, Kennesaw, GA 30152-4528

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