Provider Demographics
NPI:1942284146
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:978-373-7771
Mailing Address - Fax:978-372-0380
Practice Address - Street 1:63 NECK RD
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01835-8025
Practice Address - Country:US
Practice Address - Phone:978-373-7771
Practice Address - Fax:978-372-0380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-01
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
MA332BX2000X, 332BX2000X
NH03098332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME11444Medicaid
MA1521497Medicaid
NH30010005Medicaid