Healthcare Provider Details

I. General information

NPI: 1285528828
Provider Name (Legal Business Name): HOMETOWN CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2025
Last Update Date: 06/06/2025
Certification Date: 06/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1241 SE INDIAN ST STE 102
STUART FL
34997-5675
US

IV. Provider business mailing address

1241 SE INDIAN ST STE 102
STUART FL
34997-5675
US

V. Phone/Fax

Practice location:
  • Phone: 772-678-6210
  • Fax: 772-678-6263
Mailing address:
  • Phone: 772-678-6210
  • Fax: 772-678-6263

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BRET TOWNSEND
Title or Position: CFO, OWNER
Credential:
Phone: 772-678-6210