Provider Demographics
NPI:1710231733
Name:HOME MEDICAL EQUIPMENT SPECIALISTS LLC
Entity Type:Organization
Organization Name:HOME MEDICAL EQUIPMENT SPECIALISTS LLC
Other - Org Name:HIT SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
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:505-449-2100
Practice Address - Street 1:10801 GOLF COURSE RD NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87114-6378
Practice Address - Country:US
Practice Address - Phone:505-888-6500
Practice Address - Fax:505-883-6500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-29
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X
NMPH000034403336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM90321731Medicaid
2134324OtherPK
4505010006Medicare NSC