Hometown Nursing LLC

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

Legal business name

HOMETOWN NURSING LLC

Practice address

935 Bancroft Way
Berkeley, CA 94710-2334

Phone

(510) 459-8974

NPI assigned

Jan 15, 2021

Last updated

Jan 15, 2021By 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

Antonio Villanueva, RN, BSNNPI 1174146328

Title

Lab Director

Phone

(510) 459-8974

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Antonio Villanueva, REGISTERED NURSE

  • Registered Nurse
  • Berkeley, CA
  • NPI 1174146328
  NPD Authorized official

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1518556372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 BANCROFT WAY",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947102334",
            "telephone_number": "510-459-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 BANCROFT WAY",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947102334",
            "telephone_number": "510-459-8974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "510-459-8974",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clairemarie Holman, DC
• Jakob Holman, MS, CCC-SLP
• Lawrence Holmes, M.D.
• Tim David Holtzman, LPCC # 5452
• Melissa Holub, PH.D.
• Sai Sophia Hon
• Blaine Isamu Honda, DDS
• Barron Ko Hong, DMD
• Jane H. Hong, MD
• Violette Hong, MD

• Community Health Registered Nurse in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Community Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.