HOMETOWN URGENT CARE – NPI #1114957123
Clinic/Center

HOMETOWN URGENT CARE is an AHC clinic located in HUBER HEIGHTS, OH. NPPES has assigned the NPI number 1114957123 to HOMETOWN URGENT CARE on July 04, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “HOMETOWN URGENT CARE” is a dba name, the actual legal business name for this organization is URGENT CARE SPECIALISTS, LLC. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 2 years ago on Apr 22, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HOMETOWN URGENT CARE below.

NPI Profile for
URGENT CARE SPECIALISTS, LLC

NPI Number
1114957123
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
URGENT CARE SPECIALISTS, LLC
Doing Business As (dba): HOMETOWN URGENT CARE
Primary location
6210 BRANDT PIKE STE 102
HUBER HEIGHTS, OH 45424-4019
Phone: (937) 236-8635 Fax: (937) 236-8630
1 Other location(s):
1430 W Main St
Troy, OH 45373-2551
Phone: (716) 699-9032
Fax: (716) 699-9035
Mailing address
1430 OAK CT STE 100
BEAVERCREEK, OH 45430-1064
Phone: (937) 236-8635 Fax: (937) 236-8630
Organization Subpart
No
Authorized Official
MANOJ KUMAR
CHIEF EXECUTIVE OFFICER
Phone: (937) 603-1941
Updated
Certification Date
Apr 22, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for HOMETOWN URGENT CARE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidOH2630700
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.