Provider Demographics
NPI:1154479913
Name:HOME MEDICAL EQUIPMENT SPECIALISTS, LLC
Entity Type:Organization
Organization Name:HOME MEDICAL EQUIPMENT SPECIALISTS, LLC
Other - Org Name:HME SPECIALIST, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-888-6500
Mailing Address - Street 1:611 OSUNA RD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87113-1028
Mailing Address - Country:US
Mailing Address - Phone:505-888-6500
Mailing Address - Fax:505-888-6505
Practice Address - Street 1:2301 S MAIN ST
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005-3112
Practice Address - Country:US
Practice Address - Phone:505-526-9400
Practice Address - Fax:505-526-4510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM24927376Medicaid
TX175015002Medicaid
NM24927376Medicaid