Provider Demographics
NPI:1437445848
Name:HOMETOWN HOME HEALTHCARE
Entity Type:Organization
Organization Name:HOMETOWN HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:LUAN
Authorized Official - Last Name:BRAUGHLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-442-8117
Mailing Address - Street 1:4103 CACTUS DR
Mailing Address - Street 2:
Mailing Address - City:ARGYLE
Mailing Address - State:TX
Mailing Address - Zip Code:76226
Mailing Address - Country:US
Mailing Address - Phone:940-442-8117
Mailing Address - Fax:940-464-0615
Practice Address - Street 1:4103 CACTUS DR
Practice Address - Street 2:
Practice Address - City:ARGYLE
Practice Address - State:TX
Practice Address - Zip Code:76226-6764
Practice Address - Country:US
Practice Address - Phone:940-442-8117
Practice Address - Fax:940-464-0615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-23
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX013968251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health