HOMETOWN HEALTHCARE OF PORT JERVIS
NPI 1477399871
Nurse Practitioner - Family in Port Jervis, NY

NPI Status: Active since July 04, 2024

Contact Information

32 BALL ST
PORT JERVIS, NY
ZIP 12771
Phone: (845) 204-8204
Fax: (918) 398-9354

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  • Organization
  • Nurse Practitioner
  • Family
  • CLIA Number: 33D2307403
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-08-2026

About HOMETOWN HEALTHCARE OF PORT JERVIS

This page provides the complete NPI Profile along with additional information for Hometown Healthcare Of Port Jervis, a provider established in Port Jervis, New York operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1477399871 assigned on July 2024. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Hometown Healthcare Of Port Jervis. The authorized official of this NPI record is Roselle Aguila Little Fnp-c (Managing Director)

NPI
1477399871
Provider Legal Name
HOMETOWN HEALTHCARE PORT JERVIS FAMILY HEALTH NURSE PRACTITIONER PLLC
Other Organization Name
HOMETOWN HEALTHCARE OF PORT JERVIS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
32 BALL ST PORT JERVIS, NY 12771
Location Phone
(845) 204-8204
Location Fax
(918) 398-9354
Mailing Address
PO BOX 48 PORT JERVIS, NY 12771
Mailing Phone
(845) 204-8204
Mailing Fax
(918) 398-9354
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-04-2024
Last Update Date
11-19-2024
Code Navigator

A nurse practitioner (NP) like Hometown Healthcare Of Port Jervis is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROSELLE AGUILA LITTLE FNP-C

Authorized Official Title
MANAGING DIRECTOR
Authorized Official Phone
(845) 204-8204

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D2307403
Facility Type
Physician Office
Certificate Effective Date
July 09, 2024
Certificate Expiration Date
July 08, 2026
Laboratory Director
ROSELLE A. LITTLE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Hometown Healthcare Of Port Jervis to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1477399871, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 79. The final step is to find the difference between that total and the next multiple of ten (80 - 79 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
3
Doubled → 6
Pos 6
9
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
8
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 3 → 6 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 4 + 7 + 6 + 9 + 1 + 8 + 8 + 1 + 4 + 24 = 79

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 79 is 80. The difference is the calculated check digit.

80 - 79 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1477399871.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
32 BALL ST
PORT JERVIS, NY 12771
Nurse Practitioner (Family)
32 BALL ST
PORT JERVIS, NY 12771

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477399871, enumerated as an "organization" on July 04, 2024.

The provider is located at 32 BALL ST PORT JERVIS, NY 12771 and the phone number is (845) 204-8204.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.