HOMETOWN HEALTHCARE LLC
NPI 1720733249
Nurse Practitioner - Family in Prescott Valley, AZ

Active since February 14, 2022
3001 N MAIN ST STE 1B, PRESCOTT VALLEY, AZ 86314(480) 231-3974 Get Directions Write a Review

NPPES record last updated: February 14, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Hometown Healthcare Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOMETOWN HEALTHCARE LLC (NPI 1720733249) is a healthcare organization registered as a family in Prescott Valley, Arizona and active in the NPI registry since February 2022. The organization lists Cassei Gringo, Owner, as its authorized official.

NPPES Registry Identity

NPI1720733249
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameHOMETOWN HEALTHCARE LLC
Location Address3001 N MAIN ST STE 1BPrescott Valley, AZ 86314-1215
Mailing Address3001 N Main St Ste 1bPrescott Valley, AZ 86314-1215 · (480) 231-3974
Organization SubpartNo
Authorized OfficialCassei GringoOwner · (480) 231-3974
Enumeration DateFebruary 14, 2022
NPPES CertifiedFebruary 14, 2022
✔ NPI 1720733249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
3001 N MAIN ST STE 1B, Prescott Valley, AZ 86314

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hometown Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Hometown Healthcare LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (10)

Nurse Practitioner
NPI 1063984466
3001 N MAIN ST STE 1B
Prescott Valley, AZ 86314
(928) 259-5506
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1306611868
3001 N MAIN ST STE 1B
Prescott Valley, AZ 86314
(207) 321-9211
✔ PECOSSame address
Nurse Practitioner
NPI 1205597036
3001 N MAIN ST STE 1B
Prescott Valley, AZ 86314
(928) 445-4860
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1659024743
3001 N MAIN ST STE 1B
Prescott Valley, AZ 86314
(928) 259-5506
✔ PECOSSame address
Nurse Practitioner
NPI 1255073235
3001 N MAIN ST STE 1B
Prescott Valley, AZ 86314
(928) 259-5506
✔ PECOSSame address
Nurse Practitioner
NPI 1295445575
2286 CROSSWIND DR STE C
Prescott, AZ 86301
(928) 216-3160
✔ PECOS✔ Accepts Medicare6.1 mi
Nurse Practitioner
NPI 1922853548
726 GAIL GARDNER WAY
Prescott, AZ 86305
(928) 445-5211
✔ PECOS✔ Accepts Medicare8.8 mi
Nurse Practitioner
NPI 1508447913
856 COVE PKWY
Cottonwood, AZ 86326
(928) 582-0379
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1578124541
3100 N WEST ST STE 200B
Flagstaff, AZ 86004
(928) 389-9041
✔ PECOS✔ Accepts Medicare77 mi
Nurse Practitioner
NPI 1831867613
3001 N MAIN ST STE 1B
Prescott Valley, AZ 86314
(928) 259-5506
✔ PECOS

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 Hometown Healthcare LLC's NPI number?

The NPI number for Hometown Healthcare LLC is 1720733249. It was assigned to this organization in the NPPES registry on February 14, 2022.

Where is Hometown Healthcare LLC located?

Hometown Healthcare LLC is located at 3001 N Main St Ste 1B, Prescott Valley, AZ 86314. The listed phone number is (480) 231-3974.

What is Hometown Healthcare LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Hometown Healthcare LLC enrolled in Medicare?

Yes. Hometown Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hometown Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Hometown Healthcare 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. Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Hometown Healthcare LLC was last updated on February 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.