Organization
HOMETOWN MEDICAL SUPPLIES LLC
Active
Other names
Hometown Medical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
KILEY ANN RUSSELL (SENIOR DIRECTOR OF PAYOR RELATIONS)
(629) 252-8211
Entity
Organization
Contact information
Practice address
1274 ALMA CT, SAN JOSE, CA 95112-5940
(408) 279-3955
(408) 516-9662
Mailing address
9495 WINNETKA AVE N STE 200, BROOKLYN PARK, MN 55445-1618
(629) 282-8211
(763) 255-3972
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
218051407
CA
332BC3200X
Customized Equipment (DME)
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—
Other
Enumeration date
02/02/2007
Last updated
09/02/2025
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