Hometown Medical Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HOMETOWN MEDICAL SUPPLIES

Practice address

515 Lansing St
Suite B 1
Charlotte, MI 48813-1100

Phone

(517) 541-1511

Fax

(517) 541-1519

NPI assigned

Mar 9, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Paula E Pena

Title

Owner

Phone

(517) 543-3860

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104958099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 LANSING STREET",
            "address_2": "SUITE B 1",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "48813",
            "telephone_number": "517-541-1511",
            "fax_number": "517-541-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 LANSING ST",
            "address_2": "SUITE B 1",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131100",
            "telephone_number": "517-541-1511",
            "fax_number": "517-541-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-543-3860",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Heyink, PT,DPT
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• Jan Drlik, MD, PLLC

• All providers in Charlotte, MI
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.