SUPREME HEALTHCARE
NPI 1902307713
Durable Medical Equipment & Medical Supplies in San Dimas, CA
NPI Status: Active since February 27, 2018
Contact Information
433 W ALLEN AVE STE 112
SAN DIMAS, CA
ZIP 91773
Phone: (909) 657-5557
Fax: (909) 657-9990
- 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 4 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
- 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.
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
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1902307713, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
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.
