NICKES MEDICAL SUPPLY, LLC.


Address: 23640 N St # 758, Riverside, CA 92518-1893
Phone: 9516530060

NICKES MEDICAL SUPPLY, LLC. (NPI# 1932761657) 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) 1932761657
Entity Type Organization
Organization Name NICKES MEDICAL SUPPLY, LLC.
Practice Address 23640 N St # 758
Riverside
CA 92518-1893
Mailing Address 2820 N Stanton St
El Paso
TX 79902-2509
Practice Telephone 9516530060
Practice Fax Number 9516530061
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
1154983880 Nickes Medical Supply, LLC. Durable Medical Equipment & Medical Supplies 6020 Halsey St, Savannah, GA 31405 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 23640 N ST # 758
City RIVERSIDE
State CA
Zip Code 92518-1893

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720603301 William Donald Emergency Medical Technician, Paramedic March Air Reserve Base, Moreno Valley, CA 92518 2020-06-10
1861011876 Monika Ellyn Garcia Student in an Organized Health Care Education/Training Program 14350 Meridian Parkway Box #2, Riverside, CA 92518 2020-04-09
1558906164 Jasmine Feely Registered Nurse 5770 Riverside Dr Bldg 601, 752 Medical Squadron, March Arb, CA 92518 2019-11-07
1952957375 April Blum Nurse Practitioner 14200 Meridian Parkway, # 101, Riverside, CA 92518 2019-08-12
1902463094 Dale Timothy Hoang Student in an Organized Health Care Education/Training Program 14350-2 Meridian Pkwy, Riverside, CA 92518 2019-05-23
1619534716 Karen Stacy Clarey Student in an Organized Health Care Education/Training Program 14350-2 Meridian Parkway, Riverside, CA 92518 2019-05-23
1528548070 Holly Stevenson Registered Nurse 5770 Riverside Dr., Bldg 601, 752d Medical Squadron, March Arb, CA 92518 2018-08-15
1275058026 James Lee Mitchener IIi Registered Nurse 5770 Riverside Drive, Building 601, 752 Medical Squadron, March Arb, CA 92518 2017-08-12
1710400239 Dominique B. Horne Registered Nurse 5770 Riverside Dr. Bldg 601, 752 Medical Squadron, March Arb, CA 92518 2017-07-18
1891150918 Irene Peralta Registered Nurse 770 Riverside Dr., Bldg 601, March Arb, CA 92518 2015-12-16
Find all providers in zip 92518

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
1740802610 Sunrise Respiratory Care, Inc. Durable Medical Equipment & Medical Supplies 3371 Chicago Ave, Riverside, CA 92507-6814 2020-05-13
1487154472 Verio Healthcare, Inc Durable Medical Equipment & Medical Supplies 2060 Chicago Ave Ste A1, Riverside, CA 92507-2316 2018-02-15
1215453998 Walgreen Co Durable Medical Equipment & Medical Supplies 7000 Indiana Ave Ste 112, Riverside, CA 92506-4153 2017-08-15
1508227349 Phillip Dean Orr Durable Medical Equipment & Medical Supplies 1265 San Cristobal Dr, Riverside, CA 92506-3624 2016-03-07
1992162911 Gordian Medical Iv Inc Durable Medical Equipment & Medical Supplies 1430 3rd St Ste 6, Riverside, CA 92507-3457 2016-01-21
1629473491 Supercare, Inc. Durable Medical Equipment & Medical Supplies 1960 Chicago Ave, Suite E5, Riverside, CA 92507-2312 2014-10-23
1306181169 Medsol Usa Durable Medical Equipment & Medical Supplies 7404 Morris St, Riverside, CA 92503-1462 2012-12-05
1780938795 Bright Futuers Academy, LLC Durable Medical Equipment & Medical Supplies 9994 County Farm Rd, Riverside, CA 92503-3518 2012-10-30
1396093308 Enhance Healthcare Medical Supply Durable Medical Equipment & Medical Supplies 9880 Indiana Ave, Suite 27, Riverside, CA 92503-5568 2012-08-22
1093072118 Ruth Maldonado Durable Medical Equipment & Medical Supplies 10220 Hole Ave., Suite 6, Riverside, CA 92503-3438 2012-04-13
Find all providers in RIVERSIDE

Competitor

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City RIVERSIDE
Zip Code 92518

Improve Information

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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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