Organization Active NPI

Hometown Provider LLC

  • Nurse Practitioner
  • Clio, MI
National Provider Identifier
1629697008
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
HOMETOWN PROVIDER LLC
Practice address
9112 N Linden Rd
Clio, MI 48420-8524
Phone
(810) 610-7125
NPI assigned
Apr 15, 2020
Last updated
Apr 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Authorized official

Name
Rebecca Lynn Aaron, NP
Title
Business Owner
Phone
(810) 610-7125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X Primary

Addresses

Primary practice location

9112 N Linden Rd
Clio, MI 48420-8524

Mailing address

9112 N Linden Rd
Clio, MI 48420-8524
Phone (810) 610-7125

National Provider Directory

National Provider Directory

Locations

600 S Mill St
Ste C
Clio, MI 48420
Phone (586) 983-4200

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1629697008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9112 N LINDEN RD",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484208524",
            "telephone_number": "810-610-7125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9112 N LINDEN RD",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484208524",
            "telephone_number": "810-610-7125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN PROVIDER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "AARON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "810-610-7125",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clio, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.