Provider Demographics
NPI:1497038848
Name:HOME MEDICAL EQUIPMENT SPECIALISTS, LLC
Entity type:Organization
Organization Name:HOME MEDICAL EQUIPMENT SPECIALISTS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
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 1:3650 BLOOMFIELD HWY
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:NM
Practice Address - Zip Code:87401-2836
Practice Address - Country:US
Practice Address - Phone:505-327-6500
Practice Address - Fax:505-327-6501
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOME MEDICAL EQUIPMENT SPECIALISTS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-09-22
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM02470073008332BX2000X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM97009563Medicaid
NM4505010004Medicare NSC