NICKES MEDICAL SUPPLY, LLC.


Address: 6020 Halsey St, Savannah, GA 31405
Phone: 9155338870

NICKES MEDICAL SUPPLY, LLC. (NPI# 1154983880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154983880
Entity Type Organization
Organization Name NICKES MEDICAL SUPPLY, LLC.
Practice Address 6020 Halsey St
Savannah
GA 31405
Mailing Address 2820 N Stanton St
El Paso
TX 79902-2509
Practice Telephone 9155338870
Practice Fax Number 9155330078
Mailing Telephone 9155338870
Mailing Fax Number 9155330078
Enumeration Date 2019-07-02
Last Update Date 2019-07-02
Authorized Official Name NGOZI KATHLEEN AUSTIN-ELEJE (OWNER/ MANAGER)
Authorized Official Telephone 9155338870
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332B00000X Durable Medical Equipment & Medical Supplies Suppliers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1932761657 Nickes Medical Supply, LLC. Durable Medical Equipment & Medical Supplies 23640 N St # 758, Riverside, CA 92518-1893 2019-07-02
1619539335 Nickes Medical Supply, LLC. Durable Medical Equipment & Medical Supplies 5443 Dudley Blvd Bldg 911, Mcclellan, CA 95652-1013 2019-07-02
1013579739 Nickes Medical Supply, LLC. Durable Medical Equipment & Medical Supplies 5405 E Granite St Bldg 2527, Tucson, AZ 85707-3004 2019-07-02

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities NICKES MEDICAL SUPPLY, LLC 2820 N Stanton St, El Paso, TX 79912-2509

Office Location

Street Address 6020 HALSEY ST
City SAVANNAH
State GA
Zip Code 31405

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053918441 Nicole Marie Tetro Anesthesiology Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 2020-10-08
1215593025 Lee Ann Ryle Nurse Practitioner 5223 Paulsen St., Savannah, GA 31405 2019-05-16
1942765334 Raegan Epps Behavior Technician 613 Stephenson Ave Ste 205, Savannah, GA 31405 2019-02-10
1679050454 Phenomenal Nursing Service Registered Nurse 604 South St., 604 South St, Savannah, GA 31405 2018-07-24
1275029472 Chelsea Amanda Keedy Pharmacist 836 E. 65th St., Medical Arts #4, Savannah, GA 31405 2018-07-11
1265933840 Dwc-p LLC Dentist 5209 Paulsen Street, Savannah, GA 31405 2018-02-28
1386153005 Aaron Shaw Hearing Instrument Specialist 5501 Abercorn St Ste E, Savannah, GA 31405 2017-09-26
1063946028 Elizabeth Bentley Bruhn-danello Dietitian, Registered 836 East 65th Street, Medical Arts #4, Savannah, GA 31405 2017-04-17
1396278230 Theresa Lynn George Health Educator 836 East 65 Th Street, Medical Arts #4, Savannah, GA 31405 2017-04-07
1790235844 Accucare Medical Equipment, LLC Durable Medical Equipment & Medical Supplies 1000 Business Center Dr Ste 30, Savannah, GA 31405 2016-10-12
Find all providers in zip 31405

Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699380030 Capstone Hme Inc Durable Medical Equipment & Medical Supplies 1129 Mente Dr, Savannah, GA 31415-3104 2020-09-12
1073141164 Carolina Peach Hair Restoration Durable Medical Equipment & Medical Supplies 7370 Hodgson Memorial Dr Ste D3, Savannah, GA 31406-2541 2020-04-01
1932746047 Walgreen Co Durable Medical Equipment & Medical Supplies 300 W Broughton St, Savannah, GA 31401-3216 2019-12-09
1235774423 Ablemed Supply Durable Medical Equipment & Medical Supplies 122 Heritage Way, Savannah, GA 31419-9650 2019-11-12
1699316323 Walter L. Carter Jr. Durable Medical Equipment & Medical Supplies 11 Gateway Blvd S Ste 13, Savannah, GA 31419-9058 2019-10-03
1427613249 Hanger Prosthetics & Orthotics Inc Durable Medical Equipment & Medical Supplies 4750 Waters Ave Ste 512, Savannah, GA 31404-6261 2019-05-07
1154837508 Savannah Medical LLC Durable Medical Equipment & Medical Supplies 13051 Abercorn St Ste B3, Savannah, GA 31419-1916 2017-12-21
1235599242 Zion Pointe Health, LLC Durable Medical Equipment & Medical Supplies 713 East 65th Street, Savannah, GA 31405 2016-03-03
1477949410 Publix Super Markets Inc Durable Medical Equipment & Medical Supplies 4717 Hwy 80 E Ste B, Savannah, GA 31410-2944 2015-04-07
1407248248 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 800 E 70th St Rm 4, Savannah, GA 31405-4813 2015-03-03
Find all providers in SAVANNAH

Competitor

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City SAVANNAH
Zip Code 31405

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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