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

Active since February 14, 2022CLIA 03D2256869 · Waiver
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: August 02, 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 holds a CLIA Waiver certificate valid through March 28, 2028 and 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

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2256869

Hometown Healthcare · Prescott Valley, AZ
Active · expires Mar 28, 2028
CLIA Number03D2256869
Laboratory TypePractitioner Other
Certificate Effective DateMarch 29, 2026
Certificate Expiration DateMarch 28, 2028
Laboratory DirectorJoseph O. Gingo
Laboratory Phone(928) 259-5506
Laboratory LocationHometown Healthcare3001 N Main St Ste 1B, Prescott Valley, AZ 86314
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
3001 N MAIN ST STE 1B
PRESCOTT VALLEY, AZ 86314
Nurse Practitioner (Family)
3001 N MAIN ST STE 1B
PRESCOTT VALLEY, AZ 86314
Nurse Practitioner (Family)
3001 N MAIN ST STE 1B
PRESCOTT VALLEY, AZ 86314
Nurse Practitioner (Family)
3001 N MAIN ST STE 1B
PRESCOTT VALLEY, AZ 86314
Nurse Practitioner (Primary Care)
3001 N MAIN ST STE 1B
PRESCOTT VALLEY, AZ 86314
Nurse Practitioner (Family)
3001 N MAIN ST STE 1B
PRESCOTT VALLEY, AZ 86314

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.

Does Hometown Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2256869) is associated with this NPI, valid through March 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hometown Healthcare LLC accept?

Health plans from Ambetter from Arizona Complete Health list Hometown Healthcare LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.