Organization · Type 2 NPI

Hometown Medical Supplies LLC

Durable Medical Equipment & Medical Supplies · Santa Rosa, CA

NPI number 1104559236 Active

Practice location

3093 Wiljan Ct Ste E
Santa Rosa, CA 95407-5750

Fax (707) 440-0318

Mailing address

9495 Winnetka Ave N Ste 200
Brooklyn Park, MN 55445-1618

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000XNone listed
Customized Equipment (DME) 332BC3200XNone listed

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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About NPI 1104559236

Hometown Medical Supplies LLC's National Provider Identifier is 1104559236, issued on Jul 6, 2022. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Jun 4, 2026.