Healthcare Provider Details

I. General information

NPI: 1245618404
Provider Name (Legal Business Name): HOME MEDICAL EQUIPMENT SPECIALISTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2015
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 E NIZHONI BLVD STE 1
GALLUP NM
87301-5792
US

IV. Provider business mailing address

3901 MASTHEAD ST NE
ALBUQUERQUE NM
87109-4481
US

V. Phone/Fax

Practice location:
  • Phone: 505-888-6500
  • Fax:
Mailing address:
  • Phone: 505-888-6500
  • Fax: 505-888-6505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MS. DEBORAH J LANSDELL
Title or Position: COMPLIANCE OFFICER/DIRECTOR
Credential:
Phone: 505-569-0400