Hometown Healthcare Solution, LLC.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

HOMETOWN HEALTHCARE SOLUTION, LLC.

Practice address

811 W Main St
Henryetta, OK 74437-4249

Phone

(918) 319-5021

NPI assigned

Jun 10, 2022

Last updated

Apr 16, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Elaine Graham, DNP APRN FNP BC

Title

Provider

Phone

(918) 319-5021

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467182741. Details of each certification follow.

• CCN 373914 Rural health clinic · Active · Details

Rural health clinic certification: CCN 373914

Legal name

HOMETOWN HEALTHCARE SOLUTION LLC

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Sep 24, 2024

Last certification

Sep 24, 2024

Ownership / control type

2A

Organization structure

LLCProprietary

Enrollment address

811 W Main St
Henryetta, OK 74437-4249

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26977/brand/1/csg/1/fhir/r4

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Susan Elaine Brandt, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Tulsa, OK
  • NPI 1003450628

  5% Or Greater Direct Ownership Interest, W-2 Managing Employee

  CMS ownership

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Elaine Brandt, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Tulsa, OK
  • NPI 1003450628
  Medicare reassignment NPD
• Annette James, APRN, AFN-C, SANE-A

  • Family Nurse Practitioner
  • Checotah, OK
  • NPI 1881733160
  Medicare reassignment NPD
• Andrew Joseph Lovell, DO

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1902185077
  Medicare reassignment NPD

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1467182741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 N KINGS RD",
            "city": "HENRYETTA",
            "state": "OK",
            "postal_code": "744373809",
            "telephone_number": "918-319-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W MAIN ST",
            "city": "HENRYETTA",
            "state": "OK",
            "postal_code": "744374249",
            "telephone_number": "918-319-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN HEALTHCARE SOLUTION, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-10",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "918-319-5021",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DNP APRN FNP BC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brandon S Herrscher, DMD
• Tiffany Kristen Hobbs I
• Leslie K Hughes, APRN-CNP
• Jenny Hunnicutt
• Michael Hurd II, RDH
• Sandra Lee Hurst, CRNA
• Jeffrey Keith Jenkins I, LADC, LPC LMFT EMDR

• Urgent Care Clinic/Center in Henryetta, OK
• Providers in Henryetta, OK by specialty
• Urgent Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.