Active NPI
Hometown Medical & Rehab
- Durable Medical Equipment & Medical Supplies
- Santa Cruz, CA
National Provider Identifier
1043428022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- HOMETOWN MEDICAL & REHAB
- Practice address
- 740 Front St Ste 170
Santa Cruz, CA 95060-4536 - Phone
- (831) 423-6909
- Fax
- (831) 423-6900
- NPI assigned
- May 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dorothy Aguilar
- Title
- Owner
- Phone
- (831) 423-6909
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
740 Front St Ste 170
Santa Cruz, CA 95060-4536
Mailing address
740 Front St Ste 170
Santa Cruz, CA 95060-4536
Phone (831) 423-6909
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SR GHC 102 062635 | Other | CA | SELLERS PERMIT |
Other names 1
- none
National Provider Directory
National Provider DirectoryLocations
740 Front St
Ste 170
Santa Cruz, CA 95060
Phone (831) 457-3000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305072000000",
"number": "1043428022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 FRONT ST STE 170",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950604536",
"telephone_number": "831-423-6909",
"fax_number": "831-423-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 FRONT ST STE 170",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950604536",
"telephone_number": "831-423-6909",
"fax_number": "831-423-6900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMETOWN MEDICAL & REHAB",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-21",
"last_updated": "2011-05-11",
"status": "A",
"authorized_official_last_name": "AGUILAR",
"authorized_official_first_name": "DOROTHY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "831-423-6909"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELLERS PERMIT",
"identifier": "SR GHC 102 062635",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "none",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.