Organization Active NPI

Hometown Family Care PLLC

  • Family Medicine Physician
  • Prestonsburg, KY
National Provider Identifier
1184793986
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HOMETOWN FAMILY CARE PLLC
Practice address
400 University Drive
Suite 101a
Prestonsburg, KY 41653-1080
Phone
(606) 886-3831
Fax
(606) 886-3440
NPI assigned
Nov 7, 2006
Last updated
Sep 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Authorized official

Name
Mr. Joseph L. Grossman
Title
President and Ceo
Phone
(859) 226-2492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

400 University Drive
Suite 101a
Prestonsburg, KY 41653-1080

Mailing address

100 Airport Gardens Road
Hazard, KY 41701-7529
Phone (606) 487-7524

Other identifiers 1

IdentifierTypeStateIssuer
65943508MedicaidKY

National Provider Directory

National Provider Directory

Locations

317 Broadway St
Ste 301
Paintsville, KY 41240
Phone (606) 789-2427

5000 Ky Route 321
Ste 2162
Prestonsburg, KY 41653
Phone (606) 889-6027

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567641600000",
    "number": "1184793986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 AIRPORT GARDENS ROAD",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417017529",
            "telephone_number": "606-487-7524",
            "fax_number": "606-439-6927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 UNIVERSITY DRIVE",
            "address_2": "SUITE 101A",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416531080",
            "telephone_number": "606-886-3831",
            "fax_number": "606-886-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN FAMILY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2019-09-05",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "859-226-2492",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65943508",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prestonsburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.