# HOMETOWN MEDICAL SUPPLIES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Reliable Medical, Hometown Medical Supplies
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285772343
- **Authorized official:** KILEY ANN RUSSELL (SENIOR DIRECTOR OF PAYOR RELATIONS)
- **Authorized official phone:** (629) 252-8211

## Contact information

- **Practice address:** 1274 ALMA CT, SAN JOSE, CA 95112-5940
- **Practice address phone:** (408) 279-3955
- **Practice address fax:** (408) 516-9662
- **Mailing address:** 9495 WINNETKA AVE N STE 200, BROOKLYN PARK, MN 55445-1706
- **Mailing address phone:** (763) 255-3800
- **Mailing address fax:** (763) 255-3900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 218051407 | CA | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 02/02/2007
- **Last updated:** 06/04/2026