1497703516 NPI number — HOME MEDICAL SUPPLIES, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497703516 NPI number — HOME MEDICAL SUPPLIES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOME MEDICAL SUPPLIES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497703516
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/19/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8600 PARK MEADOWS DR
Provider Second Line Business Mailing Address:
SUITE 50
Provider Business Mailing Address City Name:
LONETREE
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80124-2756
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-751-3700
Provider Business Mailing Address Fax Number:
866-428-8900

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8600 PARK MEADOWS DR STE 50
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LONE TREE
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80124-2734
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-751-3700
Provider Business Practice Location Address Fax Number:
866-428-8900
Provider Enumeration Date:
05/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
VILLAGOMEZ
Authorized Official First Name:
ANDY
Authorized Official Middle Name:
Authorized Official Title or Position:
CONTROLLER
Authorized Official Telephone Number:
303-751-3700

Provider Taxonomy Codes

  • Taxonomy code: 332BC3200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332B00000X , with the licence number: 41-21053-0000 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 018085 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 5607043 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00183014 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 32650736 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 406990100 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 02713537 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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