NPIMap

Organization Active NPI

Hometown Healthcare Inc.

Doing business as Hometown Healthcare

  • Durable Medical Equipment & Medical Supplies
  • Starkville, MS
National Provider Identifier
1245569987
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HOMETOWN HEALTHCARE INC.
Doing business as
Hometown Healthcare
Practice address
101 Doctors Park
Starkville, MS 39759-2174
Phone
(662) 324-8338
Fax
(662) 324-9466
NPI assigned
Dec 9, 2009
Last updated
Jan 7, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
HOMETOWN HEALTHCARE INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Authorized official

Name
Kevin S Kilgore
Title
President
Phone
(662) 456-4630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X MS Primary

Addresses

Primary practice location

101 Doctors Park
Starkville, MS 39759-2174

Mailing address

107 E Washington St
Houston, MS 38851-2225
Phone (662) 456-4630

Other identifiers 1

IdentifierTypeStateIssuer
06521081MedicaidMS

Other names 1

  • Hometown Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930098745 MS DME Supplier - Medical Supply CompanyDME Supplier - Orthotic PersonnelDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 3274734504 Practice locations: Starkville, MS

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Hometown Healthcare Inc.101 Doctors Park, Starkville, MS 39759-2174(662) 324-8338 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Negative Pressure Wound Therapy Pumps/Supplies|Pneumatic Compression Devices and/or Suppli… Does not accept assignmentParticipating since Jul 25, 2005

National Provider Directory

National Provider Directory
Tax ID family
Hometown Healthcare Inc13 organizations share this tax ID, including this one
Part of
Hometown Healthcare Inc

Other organizations with this tax ID 12

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": "1260316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546819200000",
    "number": "1245569987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E WASHINGTON ST",
            "city": "HOUSTON",
            "state": "MS",
            "postal_code": "388512225",
            "telephone_number": "662-456-4630",
            "fax_number": "662-456-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DOCTORS PARK",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592174",
            "telephone_number": "662-324-8338",
            "fax_number": "662-324-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN HEALTHCARE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOMETOWN HEALTHCARE INC.",
        "enumeration_date": "2009-12-09",
        "last_updated": "2019-01-07",
        "status": "A",
        "authorized_official_last_name": "KILGORE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-456-4630"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06521081",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hometown Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Starkville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.