MEDICARE: HOME MEDICAL EQUIPMENT SPECIALISTS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0004X	Compounding Pharmacy
2	333600000X	Pharmacy
3	3336H0001X	Home Infusion Therapy Pharmacy	PH00003440	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2134324	OTHER		PK

General Provider Information

NPI Number	:	1710231733
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME MEDICAL EQUIPMENT SPECIALISTS LLC

Provider Business Mailing Address
First Line	:	3901 MASTHEAD ST NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87109-4481
Country	:	US
Telephone Number	:	505-569-0400
Fax Number	:	505-569-0400

Provider Business Practice Location Address
First Line	:	10801 GOLF COURSE RD NW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87114-6378
Country	:	US
Telephone Number	:	505-888-6500
Fax Number	:	505-883-6500

Authorized Official
Title or Position	:	COMPLIANCE OFFICER/DIRECTOR
Name	:	MS. DEBORAH J LANSDELL
Credential	:
Telephone Number	:	505-569-0400

Provider Enumeration Date	:	10/29/2012
Last Update Date	:	03/10/2026

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