Hometown Healthcare LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

HOMETOWN HEALTHCARE LLC

Practice address

3001 N Main St Ste 1B
Prescott Valley, AZ 86314-1215

Phone

(480) 231-3974

NPI assigned

Feb 14, 2022

Organization subpart

No

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

Authorized official

Name

Cassei Gringo

Title

Owner

Phone

(480) 231-3974

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 8

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

• Sandra Lee Adams, NP

  • Acute Care Nurse Practitioner
  • Flagstaff, AZ
  • NPI 1578124541
  Medicare reassignment NPD
• Elena Cristal Apolinar, FNP-BC

  • Family Nurse Practitioner
  • Prescott, AZ
  • NPI 1922853548
  Medicare reassignment NPD
• Christin Dorfling, RN

  • Family Nurse Practitioner
  • Prescott Valley, AZ
  • NPI 1205597036
  Medicare reassignment NPD
• Christine Kikue Gean, NP

  • Primary Care Nurse Practitioner
  • Prescott Valley, AZ
  • NPI 1659024743

  Family

  Medicare reassignment NPD
• Joseph Gingo, MSN, FNP-C

  • Family Nurse Practitioner
  • Prescott Valley, AZ
  • NPI 1063984466

  Single Specialty

  Medicare reassignment NPD
• Brea Kern, DNP, FNP-C

  • Family Nurse Practitioner
  • Prescott Valley, AZ
  • NPI 1831867613
  Medicare reassignment NPD
• Kelly Marie Ramos, FNP-C

  • Family Nurse Practitioner
  • Prescott Valley, AZ
  • NPI 1255073235
  Medicare reassignment NPD
• Christine Zagarella, FNP

  • Family Nurse Practitioner
  • Prescott Valley, AZ
  • NPI 1306611868
  Medicare reassignment NPD

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1720733249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 N MAIN ST STE 1B",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141215",
            "telephone_number": "480-231-3974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 N MAIN ST STE 1B",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141215",
            "telephone_number": "480-231-3974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "GRINGO",
        "authorized_official_first_name": "CASSEI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-231-3974"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Fady Yousef Hijji, M.D.
• Tung Thanh Hoang, DDS
• Patricia Hollenbeck
• Home Medical Equipment Specialists, LLC
• Honorhealth Ambulatory
• Johnna Gayle Hooks
• Joanne C Hopman
• Shellie Hormann
• Susan C Horst, LPC

• Family Nurse Practitioner in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.