Hometown Medical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HOMETOWN MEDICAL LLC

Practice address

2600 Lakeland Dr
Flowood, MS 39232-8823

Phone

(601) 933-4699

Fax

(601) 933-4988

NPI assigned

Jun 12, 2009

Last updated

Jul 22, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

HOMETOWN MEDICAL LLCAs reported in NPPES

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

Authorized official

Name

Gregory J Crawford

Title

Ceo

Phone

(859) 441-8876

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Hometown Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Vicksburg, MS
  • NPI 1255437844

  8123231776

  Same PAC ID

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

Medicare medical equipment & supply locations

Tax ID family

Hometown Medical LLC2 organizations share this tax ID, including this one

Part of

Hometown Medical LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Hometown Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Vicksburg, MS
  • NPI 1255437844
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Hometown Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Vicksburg, MS
  • NPI 1255437844
  NPPES parent name

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658448000000",
    "number": "1649407008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 TOWN DR",
            "city": "HIGHLAND HEIGHTS",
            "state": "KY",
            "postal_code": "410769114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 LAKELAND DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328823",
            "telephone_number": "601-933-4699",
            "fax_number": "601-933-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN MEDICAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOMETOWN MEDICAL LLC",
        "enumeration_date": "2009-06-12",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "859-441-8876"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Holmes, LAC #AC00002
• Rocky Holmes, FNP
• Kymberly A Holy, CRNA
• Home Health Care Affiliates of Central Mississippi, LLC (CenterWell Home Health)
• Hometown Healthcare Inc
• Sharon N Hong, M.D.
• Hopeful Assurance Home Health Care
• Charles Delbert Hosemann III, MD
• Hospice Advantage, LLC. (Compassus - Jackson)
• Stephen Houck Jr., RN

• Durable Medical Equipment & Medical Supplies in Flowood, MS
• Providers in Flowood, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.