Provider Demographics
NPI:1982036513
Name:HOMETOWN HOME CARE, LLC
Entity Type:Organization
Organization Name:HOMETOWN HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:R.N.
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORENE
Authorized Official - Middle Name:Y
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:937-875-0589
Mailing Address - Street 1:3993 W KESSLER COWLESVILLE RD
Mailing Address - Street 2:
Mailing Address - City:WEST MILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45383-7737
Mailing Address - Country:US
Mailing Address - Phone:937-875-0589
Mailing Address - Fax:
Practice Address - Street 1:3993 W KESSLER COWLESVILLE RD
Practice Address - Street 2:
Practice Address - City:WEST MILTON
Practice Address - State:OH
Practice Address - Zip Code:45383-7737
Practice Address - Country:US
Practice Address - Phone:937-875-0589
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health