Organization Active NPI

Hometown Health Care of Nepa Inc.

  • Family Nurse Practitioner
  • Covington Township, PA
National Provider Identifier
1770199036
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
HOMETOWN HEALTH CARE OF NEPA INC.
Practice address
921 Drinker Tpke Ste 13
Covington Township, PA 18444-7948
Phone
(570) 795-9795
Fax
(570) 276-0195
NPI assigned
Sep 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Authorized official

Name
Dr. Allyson Kristen Favuzza, DNP, CRNP, FNP-CNPI 1740662683
Title
Owner
Phone
(570) 795-9795

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

921 Drinker Tpke Ste 13
Covington Township, PA 18444-7948

Mailing address

921 Drinker Tpke Ste 13
Covington Township, PA 18444-7948
Phone (570) 795-9795

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210125002421 PA Part B Supplier - Clinic/Group Practice 0244644771 Receives reassigned benefits from 2 practitioners
Practice locations: Covington Township, PA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2200537Hometown Health Care of Nepa Inc921 Drinker Turnpike, Suite 13, Moscow, PA 18444Certificate of waiverNov 15, 2026

National Provider Directory

National Provider Directory

Locations

921 Drinker Tpke
Ste 13
Covington Township, PA 18444
Phone (570) 795-9795

Practitioners & affiliated clinicians

Practitioners 2

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": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1770199036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 DRINKER TPKE STE 13",
            "city": "COVINGTON TOWNSHIP",
            "state": "PA",
            "postal_code": "184447948",
            "telephone_number": "570-795-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 DRINKER TPKE STE 13",
            "city": "COVINGTON TOWNSHIP",
            "state": "PA",
            "postal_code": "184447948",
            "telephone_number": "570-795-9795",
            "fax_number": "570-276-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN HEALTH CARE OF NEPA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2021-06-14",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "FAVUZZA",
        "authorized_official_first_name": "ALLYSON",
        "authorized_official_middle_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-795-9795",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, CRNP, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.