Supreme Healthcare

LBN: Mira Integrated Holdings Inc
Supreme Healthcare is an health care organization with primary practice located at 433 W Allen Ave Ste 112 , San Dimas CA 91773-4704. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Mira Integrated Holdings Inc can be contacted via phone (909) 657-5557, or through Aquino, Arnold via phone (909) 657-5557.

Contact Information

Primary practice address
433 W Allen Ave Ste 112 San Dimas CA 91773-4704
Fax: (909) 657-9990
Website:
Authorized official contact:
Name: Aquino, Arnold

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 98254 California

Profile Details

NPI number 1902307713
LBN Legal business name Mira Integrated Holdings Inc
DBA Doing business as Supreme Healthcare
Authorized official Aquino, Arnold
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2018
Last updated Jan 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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