SUPREME HEALTHCARE
NPI 1902307713
Durable Medical Equipment & Medical Supplies in San Dimas, CA

Active since February 27, 2018
433 W ALLEN AVE STE 112, SAN DIMAS, CA 91773(909) 657-5557(909) 657-9990 Get Directions Write a Review

NPPES record last updated: January 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 21, 2022, Jun 14, 2019, Dec 20, 2018 and 3 more (6 updates tracked since 2018).

  • Organization
  • Durable Medical Equipment & Medical Supp...
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About SUPREME HEALTHCARE

This page provides the complete NPI Profile along with additional information for Supreme Healthcare, a provider established in San Dimas, California operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1902307713 assigned on February 2018. The practitioner's primary taxonomy code is 332B00000X with license number 98254 (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Supreme Healthcare. The authorized official of this NPI record is Mr. Arnold Aquino (President)

NPI
1902307713 Verify this NPI
Provider Legal Name
MIRA INTEGRATED HOLDINGS INC
Other Organization Name
SUPREME HEALTHCARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
433 W ALLEN AVE STE 112 SAN DIMAS, CA 91773
Location Phone
(909) 657-5557
Location Fax
(909) 657-9990
Mailing Address
433 W ALLEN AVE STE 112 SAN DIMAS, CA 91773
Mailing Phone
(909) 657-5557
Mailing Fax
(909) 657-9990
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-27-2018
Last Update Date
01-21-2022
Code Navigator



Supreme Healthcare is a medicare supplier with PTAN 20453309 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Commodes, Urinals, Bedpans or (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies or Canes and/or Crutches or Walkers or Tracheotomy Supplies or Continuous Positive Airway Pressure (CPAP) Devices or High Freq Chest Wall Oscillation Devices/Supplies or Intrapulmonary Percussive Ventilation Devices or Nebulizer Equipment and/or Supplies or Oxygen Equipment and/or Supplies or Respiratory Assist Devices or Respiratory Suction Pumps or Ventilators Accessories and/or Supplies.

Location Map

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

Taxonomy Code
332B00000X
Type
Suppliers
License No.
98254
License State
CA
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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. ARNOLD AQUINO

Authorized Official Title
PRESIDENT
Authorized Official Phone
(909) 657-5557

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20453309
Accepts Medicare Assignment
YES
Specialities List
Medical Supply Company Other, MSC With Respiratory Therapist.
Provider Type List
OXYGEN & EQUIPMENT.
Competitive Bidding
NO

Supplies List

  • Commodes, Urinals, Bedpans - Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
  • (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies - Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Tracheotomy Supplies - Tracheostomy care kits
  • Continuous Positive Airway Pressure (CPAP) Devices - CPAP machines, Compressor systems, Humidifiers, Masks
  • High Freq Chest Wall Oscillation Devices/Supplies - Generator system, Vest, Hoses
  • Intrapulmonary Percussive Ventilation Devices - Intrapulmonary percussive ventilation compressor, hand held units, tubing
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
  • Oxygen Equipment and/or Supplies - Portable oxygen systems, Oxygen concentrators, Oxygen contents
  • Respiratory Assist Devices -
  • Respiratory Suction Pumps - Portable suction pumps, Stationary suction pumps, Canisters
  • Ventilators Accessories and/or Supplies - Volume control ventilator, Pressure support ventilator

Reviews for SUPREME HEALTHCARE

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902307713, enumerated as an "organization" on February 27, 2018.

The provider is located at 433 W ALLEN AVE STE 112 SAN DIMAS, CA 91773 and the phone number is (909) 657-5557.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.