Organization Active NPI

Superior Healthcare Supply L.L.C

  • Customized Equipment (DME)
  • Miami Beach, FL
National Provider Identifier
1528005352
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
SUPERIOR HEALTHCARE SUPPLY L.L.C
Practice address
333 W 41St St
Suite 722
Miami Beach, FL 33140-3641
Phone
(305) 538-7821
NPI assigned
Jun 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Eric Harrison Simon
Title
Owner
Phone
(305) 538-7820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

333 W 41St St
Suite 722
Miami Beach, FL 33140-3641

Mailing address

333 W 41St St
Suite 722
Miami Beach, FL 33140-3641
Phone (305) 538-7821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930081993 FL DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Pedorthic Personnel 2567664584 Practice locations: Miami Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Superior Healthcare Supply L.L.C333 W 41St St, Miami Beach, FL 33140-3608(305) 538-7820 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Does not accept assignmentParticipating since Apr 20, 2006

National Provider Directory

National Provider Directory

Locations

333 W 41st St
Ste 722
Miami Beach, FL 33140
Phone (305) 538-7820

990 Grove St
Ste 100
Evanston, IL 60201

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1528005352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W 41ST ST",
            "address_2": "SUITE 722",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403641",
            "telephone_number": "305-538-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W 41ST ST",
            "address_2": "SUITE 722",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403641",
            "telephone_number": "305-538-7821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR HEALTHCARE SUPPLY L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "HARRISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-538-7820",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.