Active NPI
Hometown Homecare LLC
- Durable Medical Equipment & Medical Supplies
- Thomasville, GA
National Provider Identifier
1881771509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 301621200
- Legal business name
- HOMETOWN HOMECARE LLC
- Practice address
- 508 Gordon Ave
Thomasville, GA 31792-6646 - Phone
- (229) 551-0089
- NPI assigned
- Nov 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura French Shores, RRT
- Title
- Owner
- Phone
- (229) 551-0089
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 301621200 | GA | Primary |
Addresses
Primary practice location
508 Gordon Ave
Thomasville, GA 31792-6646
Mailing address
PO Box 6222
Thomasville, GA 31758-6222
Phone (229) 551-0089
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000919388A | Medicaid | GA |
National Provider Directory
National Provider Directory- Tax ID family
- Hometown Homecare LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Cairo, GA
- NPI 1144399163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213228800000",
"number": "1881771509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6222",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317586222",
"telephone_number": "229-551-0089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 GORDON AVE",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317926646",
"telephone_number": "229-551-0089"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMETOWN HOMECARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2008-06-12",
"status": "A",
"authorized_official_last_name": "SHORES",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "FRENCH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "229-551-0089",
"authorized_official_credential": "RRT"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "GA",
"license": "301621200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000919388A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thomasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.