Organization Active NPI

Hometown Medical & Rehab

  • Durable Medical Equipment & Medical Supplies
  • Santa Cruz, CA
National Provider Identifier
1043428022
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on May 11, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
SR GHC 102 062635OtherCASELLERS PERMIT

Other names 1

  • none Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.