Hometown Personal Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HOMETOWN PERSONAL CARE, LLC

Practice address

157 Inman CT # B
Bedford, IN 47421-9628

Phone

(812) 508-2385

NPI assigned

Nov 1, 2022

Organization subpart

No

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

Authorized official

Name

Tessa Tillett

Title

Owner/Ceo/President

Phone

(812) 508-2385

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1558078238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 INMAN CT # B",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474219628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 INMAN CT # B",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474219628",
            "telephone_number": "812-508-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN PERSONAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "TILLETT",
        "authorized_official_first_name": "TESSA",
        "authorized_official_title_or_position": "OWNER/CEO/PRESIDENT",
        "authorized_official_telephone_number": "812-508-2385"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.