Hometown Family Care, Llc

LBN: Hometown Family Care, Llc
Hometown Family Care, Llc is an health care organization with primary practice located at 675 B South Jefferson Avenue , Cookeville TN 38501-0950. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Hometown Family Care, Llc can be contacted via phone (931) 854-0050, or through Keagle, Wanda Faye via phone (931) 854-0050.

Contact Information

Primary practice address
675 B South Jefferson Avenue Cookeville TN 38501-0950
Phone: (931) 854-0050
Fax: (931) 854-0411
Website:
Map and Directions
Authorized official contact:
Name: Keagle, Wanda Faye MSN, FNP
Phone: (931) 854-0050

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ANP 16167 Tennessee

Profile Details

NPI number 1790113553
LBN Legal business name Hometown Family Care, Llc
DBA Doing business as
Authorized official Keagle, Wanda Faye MSN, FNP
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2013
Last updated Mar 6th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790113553 NPPES
Tennessee Other ANP 16167 STATE LICENSE
Tennessee Other 1740565282 STATE LICENSE

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