Provider Demographics
NPI:1689678385
Name:HOMETOWN HOME HEALTH, LLC
Entity Type:Organization
Organization Name:HOMETOWN HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-880-0473
Mailing Address - Street 1:1569 MALLORY LN BLDG 100
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-2872
Mailing Address - Country:US
Mailing Address - Phone:615-921-7054
Mailing Address - Fax:
Practice Address - Street 1:65 SALEM CHURCH RD
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:GA
Practice Address - Zip Code:30143
Practice Address - Country:US
Practice Address - Phone:706-253-1620
Practice Address - Fax:706-253-1621
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VERUS HEALTHCARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-06-09
Last Update Date:2018-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000858558AMedicaid
GA1288660001Medicare NSC