Healthcare Provider Details

I. General information

NPI: 1982544029
Provider Name (Legal Business Name): HOMETOWN HANDS HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1024 S PENNSYLVANIA AVE
WELLSTON OH
45692-1703
US

IV. Provider business mailing address

516 E A ST
WELLSTON OH
45692-1308
US

V. Phone/Fax

Practice location:
  • Phone: 740-978-8481
  • Fax:
Mailing address:
  • Phone: 740-978-8481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: KENDRA K SIMS
Title or Position: ADMINSTRATOR
Credential: RN
Phone: 740-577-5733