KIM CLARA RICKS (NPI# 1528167129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528167129 |
| Entity Type | Organization |
| Organization Name | KIM CLARA RICKS |
| Other Organization Name | KIM'S MEDICAL SUPPLIES |
| Practice Address |
24281 Sunnymead Blvd Moreno Valley CA 92553-3029 |
| Practice Telephone | 9512474776 |
| Practice Fax Number | 9512477037 |
| Mailing Telephone | 9512474776 |
| Mailing Fax Number | 9512477037 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2011-05-05 |
| Authorized Official Name | MS. KIM CLARA RICKS (OWNER) |
| Authorized Official Telephone | 9512474776 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 332B00000X | CA | Suppliers |
| Other Name | Type Code |
|---|---|
| Kim's Medical Supplies | Doing Business As Name - Organization |
| Street Address |
24281 SUNNYMEAD BLVD |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92553-3029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932464401 | Hannah's Medical and General Supply | Durable Medical Equipment & Medical Supplies | 24281 Sunnymead Blvd, Moreno Valley, CA 92553-3029 | 2012-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441559 | Tanya Gentle | Marriage & Family Therapist | 2319 Cottonwood Avenue, Building A Suite 110, Moreno Valley, CA 92553 | 2020-06-11 |
| 1275194227 | Antonio Pearce | Psychologist | 12968 Frederick Street, Suite D, Moreno Valley, CA 92553 | 2019-06-20 |
| 1346726486 | Elias Y. Rached | Chiropractor | 23846 Sunnymead Blvd Ste 4, Moreno Valley, CA 92553 | 2018-07-12 |
| 1952813420 | Shanaya Frederick | Driver | 14929 Spinnaker Lane, Moreno Valley, CA 92553 | 2017-10-24 |
| 1457879413 | R & C Logistic Services, LLC | Private Vehicle | 14768 Briana St, Moreno Valley, CA 92553 | 2017-08-30 |
| 1720505084 | Elda Pricila Hernandez | Behavioral Analyst | 24596 Atwood Ave.apt1, Moreno Valley, CA 92553 | 2017-08-28 |
| 1174044101 | Ps Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 24594 Sunnymead Blvd, Suite M, Moreno Valley, CA 92553 | 2017-06-29 |
| 1942736327 | Richard Pantoja Reyna | Licensed Vocational Nurse | 23119 Cottonwood Ave Bld A Suite 110, Moreno Valley, CA 92553 | 2017-05-04 |
| 1255872719 | Sibonisiwe Moyo Johnson | Nurse Practitioner | 22555 Alessandro Blvd Ste B, Moreno Valley, CA 92553 | 2017-03-16 |
| 1518311190 | Ryan Macavinta | Nurse Practitioner | 22765 Alessandro Blvd., Moreno Valley, CA 92553 | 2016-04-20 |
| Find all providers in zip 92553 | ||||
| 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 |
|---|---|---|---|---|
| 1174005300 | Drdm LLC | Durable Medical Equipment & Medical Supplies | 11445 Davis St, Moreno Valley, CA 92557-5537 | 2018-09-04 |
| 1306330055 | H-multi-pros, LLC | Durable Medical Equipment & Medical Supplies | 23099 Bay Ave Apt 144, Moreno Valley, CA 92553-9639 | 2018-06-17 |
| 1720224348 | Heavens Angel Health Services | Durable Medical Equipment & Medical Supplies | 24771 Skyland Dr, Moreno Valley, CA 92557-5139 | 2009-01-02 |
| 1356592505 | A P Mobility Inc | Durable Medical Equipment & Medical Supplies | 24183 Postal Ave Ste 7, Moreno Valley, CA 92553-3071 | 2008-10-07 |
| 1770730962 | M & M Medical | Durable Medical Equipment & Medical Supplies | 11889 Briar Knoll Pl, Moreno Valley, CA 92557-6231 | 2008-08-19 |
| 1730376567 | Ap Mobility Inc | Durable Medical Equipment & Medical Supplies | 24183 Postal Ave, #7, Moreno Valley, CA 92553-3071 | 2007-09-25 |
| 1639391667 | Macaria Padilla | Durable Medical Equipment & Medical Supplies | 24578 Sunnymead Blvd Ste B, Moreno Valley, CA 92553-3789 | 2007-05-02 |
| 1407974124 | Amma Medical Supply and Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 23932 Alessandro Blvd Ste E, Moreno Valley, CA 92553-8808 | 2007-03-27 |
| 1649356049 | Landmark Medical Services | Durable Medical Equipment & Medical Supplies | 12981 Perris Blvd, Suite 111, Moreno Valley, CA 92553-4102 | 2006-10-27 |
| 1346325370 | Edward Medical Supplies, Inc. | Durable Medical Equipment & Medical Supplies | 23639 Sunnymead Blvd, Suite H, Moreno Valley, CA 92553-7703 | 2006-10-26 |
| Find all providers in MORENO VALLEY | ||||
| City | MORENO VALLEY |
| Zip Code | 92553 |
Please comment or provide details below to improve the information on KIM CLARA RICKS.
| 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.