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HOMETOWN MEDICAL SUPPLIES LLC
NPI 1619660149
Durable Medical Equipment & Medical Supplies in Rancho Cucamonga, CA

Active since May 31, 2023
10700 JERSEY BLVD STE 190, RANCHO CUCAMONGA, CA 91730(909) 906-0962(909) 966-4699 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 17, 2024, May 31, 2023 (2 updates tracked since 2023).

About Hometown Medical Supplies Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOMETOWN MEDICAL SUPPLIES LLC (NPI 1619660149) is a healthcare organization registered as a durable medical equipment & medical supplies in Rancho Cucamonga, California and active in the NPI registry since May 2023. The organization lists Kiley Ann Russell, Senior Director Of Payor Relations, as its authorized official.

NPPES Registry Identity

NPI1619660149
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameHOMETOWN MEDICAL SUPPLIES LLC
Location Address10700 JERSEY BLVD STE 190Rancho Cucamonga, CA 91730-5127
Mailing Address9495 Winnetka Ave N Ste 200Brooklyn Park, MN 55445-1618 · (629) 252-8211 · Fax (763) 255-3972
Phone(909) 906-0962
Fax(909) 966-4699
Organization SubpartNo
Authorized OfficialKiley Ann RussellSenior Director Of Payor Relations · (629) 252-8211
Enumeration DateMay 31, 2023
Last NPPES UpdateApril 17, 20242 updates tracked since enumeration
NPPES CertifiedApril 17, 2024
✔ NPI 1619660149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
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.
10700 JERSEY BLVD STE 190, Rancho Cucamonga, CA 91730
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Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories Hometown Medical Supply carries, from the Medicare DMEPOS supplier directory.

Hometown Medical Supply

DMEPOS supplier · Rancho Cucamonga, CAOperated by Hometown Medical Supplies LLC
✔

Accepts Medicare assignment

Hometown Medical Supply agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)23281213
Medicare Participant SinceJanuary 15, 2007
Supplier Location10700 Jersey Blvd Ste 190Rancho Cucamonga, CA 91730
Phone(909) 906-0962
Supplier Specialties
Medical Supply Company Other

Medicare Product Categories

Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Hospital Beds (Electric)
Total electric hospital beds, Semi-electric hospital beds
Hospital Beds (Manual)
Fixed height hospital beds, Variable height hospital beds
Support Surfaces: Pressure Reducing Beds/Mats/Pads
Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed
Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Patient Lifts
Ceiling lifts, Slings
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hometown Medical Supplies LLC's NPI number?

The NPI number for Hometown Medical Supplies LLC is 1619660149. It was assigned to this organization in the NPPES registry on May 31, 2023.

Where is Hometown Medical Supplies LLC located?

Hometown Medical Supplies LLC is located at 10700 Jersey Blvd Ste 190, Rancho Cucamonga, CA 91730. The listed phone number is (909) 906-0962.

What is Hometown Medical Supplies LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Hometown Medical Supplies LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Hometown Medical Supply accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Hometown Medical Supplies LLC was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.