Hometown Ancillary Services LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

HOMETOWN ANCILLARY SERVICES LLC

Practice address

1303 W 1St St
Springfield, OH 45504-1920

Phone

(937) 717-4045

Fax

(937) 717-4811

NPI assigned

Sep 6, 2013

Organization subpart

No

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

Authorized official

Name

Manoj Kumar

Title

Ceo

Phone

(614) 505-7602

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• StepUP Rehab Other name

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1316372550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 CORPORATE EXCHANGE DR",
            "address_2": "SUITE 102",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432317605",
            "telephone_number": "614-505-7633",
            "fax_number": "614-847-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 W 1ST ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041920",
            "telephone_number": "937-717-4045",
            "fax_number": "937-717-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN ANCILLARY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "MANOJ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-505-7602"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0091689",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "StepUP Rehab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marcia Holmes
• James L Holtz Jr.
• Jeffrey David Holtzlander, M.D.
• Homesite Home Health Care LLC
• Hometown Ancillary Services LLC (Hometown Primary Care)
• Barbara Ann Honnold, PTA
• Naomi Hookfin
• Christy Hooten
• Kari Hope
• Betty Jean Hopkins, RN

• Physical Therapist in Springfield, OH
• Providers in Springfield, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.