Alick'S Home Medical Equipment, Inc.
Organization Active NPI Durable Medical Equipment & Medical Supplies · Elkhart, IN
NPI 1477589430 · NPPES record last updated Mar 11, 2009
Key facts
- NPI
- 1477589430
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- ALICK'S HOME MEDICAL EQUIPMENT, INC.
- Practice address
- 1612 W Lexington Ave
Elkhart, IN 46514-1942 - Phone
- (574) 522-2273
- Fax
- (574) 522-4563
- NPI assigned
- Jun 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Nafe Steven Alick
- Title
- President
- Phone
- (574) 273-6000
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 5
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Alicks Home Medical Equipment Inc |
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 assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930075770 | IN | DME Supplier - Medical Supply Company With Respiratory Therapist |
3476670746 | Practice locations: Elkhart, IN |
National Provider Directory
- Tax ID family
- Alicks Home Medical
Locations
1612 W Lexington Ave
Elkhart, IN 46514
Phone (574) 522-2273
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
1612 W Lexington Ave
Elkhart, IN 46514-1942
Mailing address
1612 W Lexington Ave
Elkhart, IN 46514-1942
Phone (574) 522-2273
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 872778403 | Medicaid | MI | |
| 100178390 | Medicaid | IN | |
| 000000303875 | Other | IN | ANTHEM BCBS |
Other providers in Elkhart, IN
- Alyssa Alcala
- Amanda Ann Aldana
- Gabriel Aldulescu
- Muhammad Shahyan Bab Ali
- Zubair Ali
- All3 LLC
- Daniel Allen
- Jeaniia Allen
- Myah Allen
- Crystal Alonzo
All providers in Elkhart, IN · Durable Medical Equipment & Medical Supplies in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.