Healthcare Provider Details

I. General information

NPI: 1497703516
Provider Name (Legal Business Name): HOME MEDICAL SUPPLIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8600 PARK MEADOWS DR STE 50
LONE TREE CO
80124-2734
US

IV. Provider business mailing address

8600 PARK MEADOWS DR STE 50
LONE TREE CO
80124-2734
US

V. Phone/Fax

Practice location:
  • Phone: 303-751-3700
  • Fax: 303-292-1213
Mailing address:
  • Phone: 303-751-3700
  • Fax: 303-292-1213

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number41-21053-0000
License Number StateCO

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier32650736
Identifier TypeMEDICAID
Identifier StateCO
Identifier Issuer
# 2
Identifier5607043
Identifier TypeMEDICAID
Identifier StateMT
Identifier Issuer

VIII. Authorized Official

Name: MR. ANDY VILLAGOMEZ
Title or Position: CONTROLLER
Credential:
Phone: 303-751-3700