Active NPI
Hometown Family Care PLLC
- Family Medicine Physician
- Prestonsburg, KY
National Provider Identifier
1184793986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65943508 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Addiction Medicine (Family Medicine) Physician
- Prestonsburg, KY
- NPI 1255881033
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.