NPIMap

Organization Active NPI

Alick's Home Medical Equipment, Inc

  • Durable Medical Equipment & Medical Supplies
  • Warsaw, IN
National Provider Identifier
1194304386
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ALICK'S HOME MEDICAL EQUIPMENT, INC
Doing business as
Alick's Home Medical Equipment, Inc.
Practice address
2306 Dubois Dr
Warsaw, IN 46580-3213
Phone
(574) 273-6000
NPI assigned
Apr 5, 2021
Last updated
Apr 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nafe S Alick
Title
President
Phone
(574) 262-0239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

2306 Dubois Dr
Warsaw, IN 46580-3213

Mailing address

17187 State Road 23
South Bend, IN 46635
Phone (574) 262-0239

Other names 1

  • Alick's Home Medical Equipment, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210927001395 IN DME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 3476670746 Practice locations: Warsaw, IN

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Alick's Home Medical Equipment, Inc2306 Dubois Dr, Warsaw, IN 46580-3213(574) 267-4900 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Gastric Suction Pumps|Hospital Beds (Electric)|Hospital Beds (Manual)|Negative Pressure Wound Therapy Pumps/Supplies|Neuromuscular Elect S… Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Alicks Home Medical7 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1612 W Lexington Ave
Elkhart, IN 46514
Phone (574) 522-2273

1920 Lake Ave
Plymouth, IN 46563
Phone (574) 941-4444

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1194304386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17187 STATE ROAD 23",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "46635",
            "telephone_number": "574-262-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 DUBOIS DR",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803213",
            "telephone_number": "574-273-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICK'S HOME MEDICAL EQUIPMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "ALICK",
        "authorized_official_first_name": "NAFE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-262-0239"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alick's Home Medical Equipment, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warsaw, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.