Provider Demographics
NPI:1356067326
Name:HOME MEDICAL EQUIPMENT SPECIALISTS, LLC
Entity type:Organization
Organization Name:HOME MEDICAL EQUIPMENT SPECIALISTS, LLC
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:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-888-6500
Mailing Address - Street 1:3901 MASTHEAD ST NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-4481
Mailing Address - Country:US
Mailing Address - Phone:505-888-6500
Mailing Address - Fax:505-449-2100
Practice Address - Street 1:8926 E LONG MESA DR STE A
Practice Address - Street 2:
Practice Address - City:PRESCOTT VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86314-9356
Practice Address - Country:US
Practice Address - Phone:505-888-6500
Practice Address - Fax:505-449-2100
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOME MEDICAL EQUIPMENT SPECIALISTS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-10-12
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies