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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
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 |
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 |
23640 N ST # 758 |
City | RIVERSIDE |
State | CA |
Zip Code | 92518-1893 |
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 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 |
---|---|---|---|---|
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 |
Please comment or provide details below to improve the information on NICKES MEDICAL SUPPLY, LLC..
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.