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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
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 |
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 |
Street Address |
6020 HALSEY ST |
City | SAVANNAH |
State | GA |
Zip Code | 31405 |
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 Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
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. |
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 |
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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.