# HOMETOWN NURSING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518556372
- **Authorized official:** ANTONIO VILLANUEVA RN, BSN (LAB DIRECTOR)
- **Authorized official phone:** (510) 459-8974

## Contact information

- **Practice address:** 935 BANCROFT WAY, BERKELEY, CA 94710-2334
- **Practice address phone:** (510) 459-8974
- **Mailing address:** 935 BANCROFT WAY, BERKELEY, CA 94710-2334
- **Mailing address phone:** (510) 459-8974

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 163WC1500X | Community Health Registered Nurse | — | NULL | Yes |
| 163WC1500X | Community Health Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 01/15/2021
- **Last updated:** 01/15/2021