Organization · Type 2 NPI

Hometown Medical Supplies LLC

Durable Medical Equipment & Medical Supplies · San Jose, CA

NPI number 1285772343 Active

Practice location

1274 Alma Ct
San Jose, CA 95112-5940

Call (408) 279-3955 Map

Fax (408) 516-9662

Mailing address

9495 Winnetka Ave N Ste 200
Brooklyn Park, MN 55445-1706

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies Primary	332B00000X	218051407 (CA)
Customized Equipment (DME)	332BC3200X	None 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.

Other durable medical equipment & medical supplies providers in San Jose

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NPI record

NPI: 1285772343
Entity type: Organization (Type 2)
Issued: Feb 2, 2007
Last updated: Jun 4, 2026
Status: Active

Other names

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Hometown Medical Supplies · doing business as
Reliable Medical · doing business as

Authorized official

Kiley Ann Russell
Senior Director of Payor Relations
(629) 252-8211

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1285772343

Hometown Medical Supplies LLC's National Provider Identifier is 1285772343, issued on Feb 2, 2007. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in San Jose, CA. The record was last updated on Jun 4, 2026.