Organization Active NPI

KW, Inc.

Doing business as Hometown Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1942683073
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
76573 Issued in CA
Legal business name
KW, INC.
Doing business as
Hometown Medical Supplies
Practice address
2426 W 8TH St Ste 103
Los Angeles, CA 90057-3840
Phone
(213) 380-1599
Fax
(213) 380-3239
NPI assigned
Jul 7, 2015
Last updated
Jul 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Authorized official

Name
Ki Ok Yoo
Title
Owner
Phone
(213) 380-1599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 76573 CA Primary

Addresses

Primary practice location

2426 W 8TH St Ste 103
Los Angeles, CA 90057-3840

Mailing address

2426 W 8TH St Ste 103
Los Angeles, CA 90057-3840
Phone (213) 380-1599

Other names 1

  • Hometown Medical Supplies Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160122000385 CA DME Supplier - Medical Supply Company 3274836408 Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1942683073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2426 W 8TH ST STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573840",
            "telephone_number": "213-380-1599",
            "fax_number": "213-380-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2426 W 8TH ST STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573840",
            "telephone_number": "213-380-1599",
            "fax_number": "213-380-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "KI OK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-380-1599"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "76573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.