Provider Demographics
NPI:1538947239
Name:HOMETOWNE HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:HOMETOWNE HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITONER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PHOENICIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:NEVEU
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:107-817-8002
Mailing Address - Street 1:109 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:KAPLAN
Mailing Address - State:LA
Mailing Address - Zip Code:70548-4113
Mailing Address - Country:US
Mailing Address - Phone:337-643-5858
Mailing Address - Fax:337-643-5859
Practice Address - Street 1:109 E 5TH ST
Practice Address - Street 2:
Practice Address - City:KAPLAN
Practice Address - State:LA
Practice Address - Zip Code:70548-4113
Practice Address - Country:US
Practice Address - Phone:337-643-5858
Practice Address - Fax:337-643-5859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty