Provider Demographics
NPI:1427177914
Name:HOMETOWN CONNECTIONS INC.
Entity type:Organization
Organization Name:HOMETOWN CONNECTIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHASSIDY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-862-8855
Mailing Address - Street 1:401 S DIXIE ST
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40741-2118
Mailing Address - Country:US
Mailing Address - Phone:606-862-8855
Mailing Address - Fax:606-862-8128
Practice Address - Street 1:401 S DIXIE ST
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-2118
Practice Address - Country:US
Practice Address - Phone:606-862-8855
Practice Address - Fax:606-862-8128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY33900747Medicaid