Hometown Medical Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HOMETOWN MEDICAL SUPPLY, INC.

Practice address

516 Joel Blvd
Unit D
Lehigh Acres, FL 33936-4305

Phone

(239) 369-1425

Fax

(239) 369-5927

NPI assigned

Mar 16, 2006

Organization subpart

No

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

Authorized official

Name

Miss Jesica Santana Colon

Title

President

Phone

(239) 369-1425

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1225007685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 JOEL BLVD",
            "address_2": "UNIT D",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364305",
            "telephone_number": "239-369-1425",
            "fax_number": "239-369-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 JOEL BLVD",
            "address_2": "UNIT D",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364305",
            "telephone_number": "239-369-1425",
            "fax_number": "239-369-5927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "SANTANA COLON",
        "authorized_official_first_name": "JESICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-369-1425",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026226900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.