# HOME MEDISERVICE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1194817379
- **Authorized official:** WENDY RUSSALESI (CCO)
- **Authorized official phone:** (484) 246-9499

## Contact information

- **Practice address:** 4690 MILLENNIUM DR STE 323, BELCAMP, MD 21017-1523
- **Practice address phone:** (410) 939-1212
- **Practice address fax:** (410) 939-5952
- **Mailing address:** 220 W GERMANTOWN PIKE STE 250, PLYMOUTH MEETING, PA 19462-1437
- **Mailing address phone:** (610) 424-4515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | MD | — |
| 332BC3200X | Customized Equipment (DME) | — | MD | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | MD | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | MD | Yes |

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 11/04/2024