HOMETOWN – NPI #1114247863
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

HOMETOWN is a community based residential treatment facility located in HOXIE, AR. NPPES has assigned the NPI number 1114247863 to HOMETOWN on June 04, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

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 below.

NPI Profile for
HOMETOWN

NPI Number
1114247863
Enumeration Date

(more than 16 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
HOMETOWN
Primary location
503 SE LINDSEY ST
HOXIE, AR 72433-2224
Phone: (870) 886-1333 Fax:
Mailing address
805 SE 7TH ST
WALNUT RIDGE, AR 72476-3208
Phone: Fax:
Organization Subpart
No
Authorized Official
LANNY TINKER
OWNER
Phone: (870) 886-1333
Updated
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
320800000X
- Community Based Residential Treatment Facility, Mental Illness (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.