Provider Demographics
NPI:1063003630
Name:HOMETOWN FAMILY HEALTHCARE, LLC
Entity Type:Organization
Organization Name:HOMETOWN FAMILY HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SHEETZ
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:240-362-1537
Mailing Address - Street 1:11306 BEDFORD RD NE
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-6802
Mailing Address - Country:US
Mailing Address - Phone:301-338-8680
Mailing Address - Fax:
Practice Address - Street 1:11306 BEDFORD RD NE
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-6802
Practice Address - Country:US
Practice Address - Phone:301-338-8680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-27
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty