Hometown Homecare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299991974

Legal business name

HOMETOWN HOMECARE LLC

Practice address

350 Magnolia Ave SW
300
Winter Haven, FL 33880

Phone

(863) 401-3550

Fax

(863) 401-8199

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

David O Sullivan

Title

Owner Ceo

Phone

(863) 401-3550

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359676800000",
    "number": "1073544698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MAGNOLIA AVE SW",
            "address_2": "STE 300",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338802901",
            "telephone_number": "863-401-3550",
            "fax_number": "863-401-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 MAGNOLIA AVE SW",
            "address_2": "300",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "33880",
            "telephone_number": "863-401-3550",
            "fax_number": "863-401-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2013-02-01",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "863-401-3550"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": "299991974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Winter Haven, FL
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• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; 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.