Organization Active NPI

Hometown Care LLC

Doing business as Hometown Care

  • Case Manager/Care Coordinator
  • Belington, WV
National Provider Identifier
1073073722
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
HOMETOWN CARE LLC
Doing business as
Hometown Care
Practice address
66 S. Crim Ave
Belington, WV 26250-8345
Phone
(304) 823-0223
Fax
(304) 823-3600
NPI assigned
Mar 20, 2019
Organization subpart
Yes
Parent organization
HOMETOWN CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carolyn Ann Phillips
Title
Director
Phone
(304) 823-0223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

66 S. Crim Ave
Belington, WV 26250-8345

Mailing address

PO Box 92
Belington, WV 26250-0092
Phone (304) 823-0223

Other identifiers 1

IdentifierTypeStateIssuer
1497067417MedicaidWV

Other names 1

  • Hometown Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hometown Care9 organizations share this tax ID, including this one
Part of
Hometown Care

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1073073722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92",
            "city": "BELINGTON",
            "state": "WV",
            "postal_code": "262500092",
            "telephone_number": "304-823-0223",
            "fax_number": "304-823-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 S. CRIM AVE",
            "city": "BELINGTON",
            "state": "WV",
            "postal_code": "262508345",
            "telephone_number": "304-823-0223",
            "fax_number": "304-823-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOMETOWN CARE LLC",
        "enumeration_date": "2019-03-20",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "304-823-0223"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497067417",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hometown Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.