Provider Demographics
NPI:1114194404
Name:HOME CARE SPECIALISTS, INC.
Entity Type:Organization
Organization Name:HOME CARE SPECIALISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DESMARAIS
Authorized Official - Suffix:
Authorized Official - Credentials:CRT
Authorized Official - Phone:978-373-7771
Mailing Address - Street 1:PO BOX 8237
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01835-0737
Mailing Address - Country:US
Mailing Address - Phone:800-698-8113
Mailing Address - Fax:978-372-0380
Practice Address - Street 1:128 HALL ST STE A
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-3451
Practice Address - Country:US
Practice Address - Phone:800-698-8113
Practice Address - Fax:978-372-0380
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOME CARE SPECIALISTS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-15
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
MA332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH0190870002Medicare NSC