Organization Active NPI

Hometown Family Healthcare, LLC

  • Urgent Care Clinic/Center
  • Hillsboro, OH
National Provider Identifier
1730892399
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
HOMETOWN FAMILY HEALTHCARE, LLC
Practice address
695 Harry Sauner Rd
Hillsboro, OH 45133-9471
Phone
(937) 402-4240
NPI assigned
Dec 28, 2022
Last updated
Dec 28, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH HIGH FAMILY &ACUTE CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Authorized official

Name
Angela Bennett, PAC, MPAS
Title
Owner/Provider
Phone
(937) 509-4953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

695 Harry Sauner Rd
Hillsboro, OH 45133-9471

Mailing address

695 Harry Sauner Rd
Hillsboro, OH 45133-9471
Phone (937) 402-4240

Other identifiers 1

IdentifierTypeStateIssuer
1215563432MedicaidOH

Other names 1

  • North High Family & Acute Care Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hometown695@direct.practicefusion.com

National Provider Directory

National Provider Directory

Locations

695 Harry Sauner Rd
Hillsboro, OH 45133
Phone (937) 402-4240

Interoperability endpoints

  • Direct secure messaging: hometown695@direct.practicefusion.com

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1730892399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 HARRY SAUNER RD",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451339471",
            "telephone_number": "937-402-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 HARRY SAUNER RD",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451339471",
            "telephone_number": "937-402-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN FAMILY HEALTHCARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH HIGH FAMILY &ACUTE CARE, LLC",
        "enumeration_date": "2022-12-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-03",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "937-509-4953",
        "authorized_official_credential": "PAC, MPAS"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215563432",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hometown695@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "695 Harry Sauner Rd",
            "city": "Hillsboro",
            "state": "OH",
            "country_code": "US",
            "postal_code": "451339471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "North High Family & Acute Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hillsboro, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.