{"npi":"1861445892","type":"NPI-2","status":"active","name":{"display":"Hometown Health Management Company","other":[],"organization_name":"HOMETOWN HEALTH MANAGEMENT COMPANY","authorised_official":"Brett Moore"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":null,"license":null},{"code":"261QU0200X","description":"Urgent Care","primary":false,"state":null,"license":null},{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":null,"license":null},{"code":"363L00000X","description":"Nurse Practitioner","primary":false,"state":null,"license":null},{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1525 LOS ALTOS PKWY","city":"SPARKS","state":"NV","postal_code":"894366692","country_code":"US","phone":"7759825000","fax":"7759823900"},{"purpose":"MAILING","street_1":"1155 MILL ST # M14","city":"RENO","state":"NV","postal_code":"895021576","country_code":"US","phone":"7759825262","fax":"7759825496"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"CB6606","state":"NV","issuer":"RR MEDICARE PTAN"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040105000431","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NV","pac_id":"0244139798"},{"enrlmt_id":"O20130604000507","type_code":"12-73","type_desc":"PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)","state":"NV","pac_id":"0244139798"}]},"enumeration_date":"2006-05-19","last_updated":"2024-06-07","_meta":{"source":"NPPES","snapshot_date":"2024-06-07","doc_url":"https://findmynpi.com/api"}}