# HOMETOWN MEDICAL REHAB

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hometown Medical Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639435795
- **Authorized official:** BRENDA K VEGA (OWNER)
- **Authorized official phone:** (831) 435-1587

## Contact information

- **Practice address:** 671 CHEMEKETA DR, A, SAN JOSE, CA 95123-3039
- **Practice address phone:** (831) 435-1587
- **Practice address fax:** (877) 421-2401
- **Mailing address:** 671 CHEMEKETA DR, A, SAN JOSE, CA 95123-3039
- **Mailing address phone:** (831) 435-1587
- **Mailing address fax:** (877) 421-2401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 102208089 | CA | Yes |

## Other

- **Enumeration date:** 04/03/2012
- **Last updated:** 04/03/2012