Organization Active NPI

Reliable Home Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Lawndale, CA
National Provider Identifier
1598832149
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
46174 Issued in CA
Legal business name
RELIABLE HOME MEDICAL SUPPLY
Practice address
14601 Prairie Ave
Lawndale, CA 90260-1830
Phone
(310) 676-6066
Fax
(310) 676-6066
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Ajibade Kamoru Adefioye
Title
Owner
Phone
(310) 676-6066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 46174 CA Primary

Addresses

Primary practice location

14601 Prairie Ave
Lawndale, CA 90260-1830

Mailing address

PO Box 91657
Los Angeles, CA 90009-1657
Phone (310) 676-6066

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598832149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91657",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900091657",
            "telephone_number": "310-676-6066",
            "fax_number": "310-676-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14601 PRAIRIE AVE",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902601830",
            "telephone_number": "310-676-6066",
            "fax_number": "310-676-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE HOME MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADEFIOYE",
        "authorized_official_first_name": "AJIBADE",
        "authorized_official_middle_name": "KAMORU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-676-6066",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "46174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawndale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.