Organization · Type 2 NPI

Hometown Medical Supplies LLC

Durable Medical Equipment & Medical Supplies · Stockton, CA

NPI number 1750040465 Active

Practice location

3663 Arch Rd Ste 600
Stockton, CA 95215-8355

Call (209) 472-1136 Map

Fax (209) 472-1138

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	None listed
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 Stockton

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NPI record

NPI: 1750040465
Entity type: Organization (Type 2)
Issued: Dec 9, 2021
Last updated: Oct 21, 2026
Status: Active

Other names

<unavail>
Hometown Medical Supplies · doing business as
Reliable Medical · doing business as

Authorized official

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

Verify this record

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 1750040465

Hometown Medical Supplies LLC's National Provider Identifier is 1750040465, issued on Dec 9, 2021. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Stockton, CA. The record was last updated on Oct 21, 2026.