Alick'S Home Medical Equipment, Inc.

Organization Active NPI Durable Medical Equipment & Medical Supplies · Plymouth, IN

NPI 1992742670 · NPPES record last updated Feb 14, 2008

Key facts

NPI
1992742670
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
2517 N Michigan St
Plymouth, IN 46563-8972
Phone
(574) 941-4444
Fax
(574) 941-4440
NPI assigned
Jun 1, 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

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

Corporate family (same tax ID) 5

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100930075771 IN DME Supplier - Medical Supply Company With Respiratory Therapist
DME Supplier - Medical Supply Company
DME Supplier - Oxygen & Equipment
3476670746 Practice locations: Plymouth, IN

National Provider Directory

Tax ID family
Alicks Home Medical (7 organizations share this tax ID)

Locations

2517 N Michigan St
Plymouth, IN 46563
Phone (574) 936-5616

Specialties & licenses

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

Addresses

Primary practice location

2517 N Michigan St
Plymouth, IN 46563-8972

Mailing address

2517 N Michigan St
Plymouth, IN 46563-8972
Phone (574) 941-4444

Other identifiers

IdentifierTypeStateIssuer
000000303785OtherINANTHEM BCBS

Other providers in Plymouth, IN

All providers in Plymouth, IN · Durable Medical Equipment & Medical Supplies in Indiana

Sources for this page

Verify at the official NPI Registry.