Hometown Care of Mantachie LLC
NPI 1164987426ActiveOrganization· Nurse Practitioner, Family· Mantachie, MS
Nurse Practitioner, Family in Mantachie, Mississippi, registered in NPPES in January 2019. The authorized official on file is Andrea Carpenter, FNP-C, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1164987426 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 31, 2019 |
| Last updated in NPPES | Aug 14, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
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