Organization Active NPI

Hometown Transportation, LLC

  • Ambulance
  • Saint Marys, OH
National Provider Identifier
1669119855
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
HOMETOWN TRANSPORTATION, LLC
Practice address
00650 Liette LN
Saint Marys, OH 45885-8503
Phone
(419) 962-9405
NPI assigned
May 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Stephanie Renee Miller, OWNERNPI 1164955894
Title
Co-Owner
Phone
(419) 962-9405

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

00650 Liette LN
Saint Marys, OH 45885-8503

Mailing address

00650 Liette LN
Saint Marys, OH 45885-8503
Phone (419) 962-9405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231204002079 OH Part B Supplier - Ambulance Service Supplier 1850749656 Practice locations: New Bremen, OH

National Provider Directory

National Provider Directory

Locations

560 Streine Dr
New Bremen, OH 45869
Phone (419) 962-9405

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1669119855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "00650 LIETTE LN",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458858503",
            "telephone_number": "419-962-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "00650 LIETTE LN",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458858503",
            "telephone_number": "419-962-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "419-962-9405",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.