MEDICARE: HS DME SUPPLIES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1437029824
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HS DME SUPPLIES LLC

Provider Business Mailing Address
First Line	:	1661 N GRANTLAND AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93723-9231
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1661 N GRANTLAND AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93723-9231
Country	:	US
Telephone Number	:	201-792-3583
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. RAJNEESH KUMAR
Credential	:
Telephone Number	:	201-792-2358

Provider Enumeration Date	:	11/10/2025
Last Update Date	:	11/10/2025

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Directions to “HS DME SUPPLIES LLC ” Practice Location

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