SUPREME HEALTHCARE SUPPLY LLC (NPI# 1871901322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871901322 |
| Entity Type | Organization |
| Organization Name | SUPREME HEALTHCARE SUPPLY LLC |
| Practice Address |
1035 Ne 125th St 301 North Miami FL 33161-5820 |
| Practice Telephone | 3058593350 |
| Practice Fax Number | 3059282535 |
| Mailing Telephone | 3058593350 |
| Mailing Fax Number | 3059282535 |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2016-09-13 |
| Authorized Official Name | MR. IVAN E RUIZ-OTERO (OWNER) |
| Authorized Official Telephone | 3058593350 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
PED218 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE PTAN | 7544650001 | 01 |
| Street Address |
1035 NE 125TH ST 301 |
| City | NORTH MIAMI |
| State | FL |
| Zip Code | 33161-5820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922044064 | Excel Diabetic Services LLC | Durable Medical Equipment & Medical Supplies | 1035 Ne 125th St, Suite 200, North Miami, FL 33161-5820 | 2006-06-20 |
| 1437424694 | Excel Medical Holdings Inc | Durable Medical Equipment & Medical Supplies | 1035 Ne 125th St, Second Floor, North Miami, FL 33161-5820 | 2012-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609365907 | Silvia Maria Sanchez Del Campo | General Practice | 412-436 Ne 125th St, North Miami, FL 33161 | 2018-05-02 |
| 1841718806 | Christina Collier | Student in an Organized Health Care Education/Training Program | 12046 Ne 16th Ave, Apt. 5105, Miami, FL 33161 | 2017-08-30 |
| 1477076768 | Mariline Suit | Assisted Living Facility | 960 Ne 136 Street, North Miami, FL 33161 | 2017-07-19 |
| 1588186910 | Virtuous Care & Staffing, Inc. | In Home Supportive Care | 1525 Ne 136th Street, Miami, FL 33161 | 2017-07-07 |
| 1881043222 | Elitane Rinville | Counselor | 11422 Ne 13 Ave., Miami, FL 33161 | 2016-06-07 |
| 1992183529 | India Bass | Counselor | 12635 Ne Miami Ct, North Miami, FL 33161 | 2015-05-14 |
| 1659775781 | Loralei Ann Magadia Parchejo | Pharmacy Technician | 173 Ne 108th St, Miami Shores, FL 33161 | 2014-10-17 |
| 1912307513 | Louise Marjori Paul | Nurse Practitioner | 1190 N.w. 125th Street, Chen Medical North Miami (125th), North Miami, FL 33161 | 2014-09-02 |
| 1598185860 | Institute of Wholistic Empowerment | Counselor | 1065 Ne 125 Street, Suite 317a, North Miami, FL 33161 | 2014-04-24 |
| 1689095689 | Sandra Batista | Counselor | 11031 Ne 6th Avenue, Miami, FL 33161 | 2013-12-18 |
| Find all providers in zip 33161 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356948129 | Heavenly Slayerz Boutique | Durable Medical Equipment & Medical Supplies | 6120 Forest Hill Blvd Apt 110, West Palm Beach, FL 33415-6260 | 2020-10-05 |
| 1649884297 | Dbl Mobility Care Inc | Durable Medical Equipment & Medical Supplies | 132 Sw Monterey Rd, Stuart, FL 34994-4610 | 2020-09-01 |
| 1942812649 | Homeward Bound Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 3836 Old Dixie Hwy, Stuart, FL 34997 | 2020-08-24 |
| 1255956744 | Synergy Health Care and Associates | Durable Medical Equipment & Medical Supplies | 124 Marriott Dr, Tallahassee, FL 32301-2995 | 2020-06-10 |
| 1770118705 | New Regeneration Orthopedics of Florida, Pllc. | Durable Medical Equipment & Medical Supplies | 20754 W Dixie Hwy Unit 2c, Miami, FL 33180-1146 | 2020-03-10 |
| 1770118309 | 6th St. Bridge Mobility and Home Care LLC | Durable Medical Equipment & Medical Supplies | 7818 Depot Ln, Tampa, FL 33637-6810 | 2020-03-04 |
| 1033741681 | 123germfree, LLC | Durable Medical Equipment & Medical Supplies | 4537 Prime Ter, North Port, FL 34286-7707 | 2020-02-11 |
| 1053951632 | Somnia Sleep Solutions LLC | Durable Medical Equipment & Medical Supplies | 205 Zeagler Dr Ste 301, Palatka, FL 32177-3860 | 2020-01-10 |
| 1700433067 | Beyoutiful Custom Wigs and Makeup | Durable Medical Equipment & Medical Supplies | 276 N Market Blvd, Webster, FL 33597-9441 | 2019-08-21 |
| 1437710688 | Myrna Rogers | Durable Medical Equipment & Medical Supplies | 11636 Linda Ln, Dade City, FL 33525-8405 | 2019-06-27 |
| Find all providers with the same taxonomy | ||||
| City | NORTH MIAMI |
| Zip Code | 33161 |
Please comment or provide details below to improve the information on SUPREME HEALTHCARE 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.