Organization Name: | HOMETOWN CARE, LLC |
NPI Number: | 1629442710 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TRACEY ANNA MARIE POFFENROTH (CO-OWNER) |
Mailing Address: | 1337 Gusdorf Rd Suite I Taos |
State: | NM US |
Postal Code: | 875716294 |
Phone Number: | 5056144768 |
Fax Number: | |
NPI Enumeration Date: | 11/30/2015 |
NPI Last Update Date: | 11/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 3085 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NM |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |