DR HOMETOWN FTL LLC
NPI 1174318018
General Practice in Lighthouse Point, FL
About Dr Hometown Ftl Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR HOMETOWN FTL LLC (NPI 1174318018) is a healthcare organization registered as a general practice in Lighthouse Point, Florida and active in the NPI registry since April 2025. The organization lists Ryan M Taube, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr Hometown Ftl Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr Hometown Ftl LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dr Hometown Ftl LLC's NPI number?
The NPI number for Dr Hometown Ftl LLC is 1174318018. It was assigned to this organization in the NPPES registry on April 11, 2025.
Where is Dr Hometown Ftl LLC located?
Dr Hometown Ftl LLC is located at 4111 NE 23rd Ter, Lighthouse Point, FL 33064. The listed phone number is (954) 860-7997.
What is Dr Hometown Ftl LLC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Dr Hometown Ftl LLC enrolled in Medicare?
Yes. Dr Hometown Ftl LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dr Hometown Ftl LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Emergency Medicine) reassigns their Medicare billing to Dr Hometown Ftl LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Dr Hometown Ftl LLC was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr Hometown Ftl Llc · NPI 1174318018
General Practice organization in Lighthouse Point, Florida. Organization record, active in the CMS NPPES registry since April 11, 2025.
## Identity
- **NPI:** 1174318018 (Entity type: Organization)
- **Enumerated:** April 11, 2025
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Ryan Taube, OWNER
## Practice location
- **Address:** 4111 NE 23RD TER, Lighthouse Point, FL 33064-8013
- **Phone:** (954) 860-7997
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Emergency Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1174318018) · Data from the CMS NPPES public registry.