Organization Active NPI

Hometime Health VA LLC

  • General Practice Registered Nurse
  • Hohenwald, TN
National Provider Identifier
1538067269
Registry record updated Oct 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
Legal business name
HOMETIME HEALTH VA LLC
Practice address
138 Commanche Dr
Hohenwald, TN 38462-2221
Phone
(330) 275-3755
Fax
(330) 275-3501
NPI assigned
Oct 31, 2026
Last updated
Oct 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2026

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

Authorized official

Name
Eric Robertson
Title
President
Phone
(330) 275-3755

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
General Practice Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WG0000X Primary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Case Management Agency 251B00000X

Addresses

Primary practice location

138 Commanche Dr
Hohenwald, TN 38462-2221

Mailing address

138 Commanche Dr
Hohenwald, TN 38462-2221
Phone (330) 275-3755

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1793404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793404800000",
    "number": "1538067269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 COMMANCHE DR",
            "city": "HOHENWALD",
            "state": "TN",
            "postal_code": "384622221",
            "telephone_number": "330-275-3755",
            "fax_number": "330-275-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 COMMANCHE DR",
            "city": "HOHENWALD",
            "state": "TN",
            "postal_code": "384622221",
            "telephone_number": "330-275-3755",
            "fax_number": "330-275-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETIME HEALTH VA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-31",
        "last_updated": "2026-10-31",
        "certification_date": "2026-10-30",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-275-3755"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hohenwald, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2026; 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.