Provider Demographics
NPI:1720042583
Name:HOME MEDICAL EQUIPMENT SPECIALISTS LLC
Entity Type:Organization
Organization Name:HOME MEDICAL EQUIPMENT SPECIALISTS LLC
Other - Org Name:HME SPECIALISTS, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
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 1:611 OSUNA RD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87113-1028
Practice Address - Country:US
Practice Address - Phone:505-888-6500
Practice Address - Fax:505-449-2100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-17
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMPH00003440332B00000X
332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM48004367Medicaid
3212305OtherNCPDP PROVIDER IDENTIFICATION NUMBER
3212305OtherNCPDP PROVIDER IDENTIFICATION NUMBER