SUPREME HEALTHCARE SUPPLY LLC
NPI 1871901322
Durable Medical Equipment & Medical Supplies - Customized Equipment in North Miami, FL

NPI Status: Active since July 29, 2014

Contact Information

1035 NE 125TH ST
301
NORTH MIAMI, FL
ZIP 33161
Phone: (305) 859-3350
Fax: (305) 928-2535

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • Customized Equipment

About SUPREME HEALTHCARE SUPPLY LLC

This page provides the complete NPI Profile along with additional information for Supreme Healthcare Supply Llc, a provider established in North Miami, Florida operating as a Durable Medical Equipment & Medical Supplies, focusing in customized equipment . The healthcare provider is registered in the NPI registry with number 1871901322 assigned on July 2014. The practitioner's primary taxonomy code is 332BC3200X with license number PED218 (FL). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Mr. Ivan E Ruiz-otero (Owner)

NPI
1871901322
Provider Name
SUPREME HEALTHCARE SUPPLY LLC
Entity Type
Organization
Location Address
1035 NE 125TH ST 301 NORTH MIAMI, FL 33161
Location Phone
(305) 859-3350
Location Fax
(305) 928-2535
Mailing Address
1035 NE 125TH ST 301 NORTH MIAMI, FL 33161
Mailing Phone
(305) 859-3350
Mailing Fax
(305) 928-2535
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-29-2014
Last Update Date
09-13-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies Customized Equipment

Taxonomy Code
332BC3200X
Type
Suppliers
License No.
PED218
License State
FL

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. IVAN E RUIZ-OTERO

Authorized Official Title
OWNER
Authorized Official Phone
(305) 859-3350

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
7544650001OTHER (01)FLMEDICARE PTAN

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1871901322
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28141180234
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 4 + 1 + 1 + 8 + 0 + 2 + 3 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1871901322 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1922044064EXCEL DIABETIC SERVICES LLC
Organization
Durable Medical Equipment & Medical Supplies1035 NE 125TH ST SUITE 200
NORTH MIAMI, FL 33161
(305) 891-9992
1437424694EXCEL MEDICAL HOLDINGS INC
Organization
Durable Medical Equipment & Medical Supplies1035 NE 125TH ST SECOND FLOOR
NORTH MIAMI, FL 33161
(888) 999-8780

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871901322, enumerated in the NPI registry as an "organization" on July 29, 2014

The provider is located at 1035 Ne 125th St 301 North Miami, Fl 33161 and the phone number is (305) 859-3350

This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332BC3200X with a focus in Customized Equipment

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 29, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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