Organization Active NPI

Hometown Care PLLC

  • Primary Care Nurse Practitioner
  • Kingman, AZ
National Provider Identifier
1942165683
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
HOMETOWN CARE PLLC
Practice address
4295 N Van Nuys Rd
Kingman, AZ 86409-2548
Phone
(928) 303-3223
NPI assigned
Dec 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Authorized official

Name
Treeva Hausen, AG-ACNPNPI 1912461278
Title
Nurse Practitioner
Phone
(928) 303-3223

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
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

4295 N Van Nuys Rd
Kingman, AZ 86409-2548

Mailing address

4295 N Van Nuys Rd
Kingman, AZ 86409-2548
Phone (928) 867-4360

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
03D2338121Hometown Care PLLC4295 N Van Nuys Rd, Kingman, AZ 86409Certificate of waiverFeb 4, 2028

National Provider Directory

National Provider Directory

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": "1765843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1942165683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4295 N VAN NUYS RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864092548",
            "telephone_number": "928-867-4360",
            "fax_number": "949-628-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4295 N VAN NUYS RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864092548",
            "telephone_number": "928-303-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-16",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "HAUSEN",
        "authorized_official_first_name": "TREEVA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "928-303-3223",
        "authorized_official_credential": "AG-ACNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.