MEDICARE: HOMETOWN HEALTH CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1093561367
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOMETOWN HEALTH CARE

Provider Business Mailing Address
First Line	:	470 EMERALD AVE
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34945-2123
Country	:	US
Telephone Number	:	772-370-5880
Fax Number	:

Provider Business Practice Location Address
First Line	:	1820 43RD AVE STE B
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-0574
Country	:	US
Telephone Number	:	772-539-7777
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BRITTNEY OLSON
Credential	:	APRN
Telephone Number	:	772-370-5880

Provider Enumeration Date	:	04/27/2024
Last Update Date	:	04/27/2024

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Directions to “HOMETOWN HEALTH CARE ” Practice Location

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