Home Medical Products and Services, LLC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Superior, WI
NPI 1013045194 · NPPES record last updated Oct 14, 2025
Key facts
- NPI
- 1013045194
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 936 - 045 (WI)
- Legal business name
- HOME MEDICAL PRODUCTS AND SERVICES, LLC
- Practice address
- 1419 Hill Ave
Superior, WI 54880-1951 - Phone
- (715) 392-7272
- Fax
- (715) 392-5222
- NPI assigned
- Mar 1, 2007
- Organization subpart
- No
Authorized official
- Name
- Wendy Russalesi
- Title
- Cco
- Phone
- (484) 246-9499
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 5
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Home Medical Products and Services |
Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Pneumatic Compression Devices and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutaneous… | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930019374 | WI | DME Supplier - Medical Supply Company With Respiratory Therapist |
6002021821 | Practice locations: Superior, WI |
National Provider Directory
- Tax ID family
- Home Medical Products and Services LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 936 - 045 | WI | Yes |
Addresses
Primary practice location
1419 Hill Ave
Superior, WI 54880-1951
Mailing address
555 E North LN Ste 5075
Conshohocken, PA 19428-2490
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41720000 | Medicaid | WI |
Other providers in Superior, WI
- Kenzie Hohman
- George F Holliday
- Emily Holmes
- Kyndal Leigh Holmes
- Glen E Holt
- Alexus Fay Houman
- Katie Lange Howard
- Jean Elise Hoyer
- Jauneen Hoyt
- HP Superior Inc
All providers in Superior, WI · Durable Medical Equipment & Medical Supplies in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.