NPIMap

Organization Active NPI

Super Care, LLC

  • Oxygen Equipment & Supplies (DME)
  • Las Vegas, NV
National Provider Identifier
1679932198
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
MP01363 Issued in NV
Legal business name
SUPER CARE, LLC
Doing business as
SuperCare Health
Practice address
6380 S Valley View Blvd Ste 120
Las Vegas, NV 89118-3908
Phone
(800) 206-4880
Fax
(626) 723-8275
NPI assigned
Feb 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Authorized official

Name
Mr. John L Cassar
Title
Ceo
Phone
(800) 206-4880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X MP01363 NV Primary

Addresses

Primary practice location

6380 S Valley View Blvd Ste 120
Las Vegas, NV 89118-3908

Mailing address

16017 Valley Blvd.
City of Industry, CA 91744-5424
Phone (800) 206-4880

Other names 1

  • SuperCare Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190815000919 NV DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 7214093038 Practice locations: Las Vegas, NV

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Supercare Health6380 S Valley View Blvd, Las Vegas, NV 89118-3908(800) 206-4880 Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchair Seating/Cushions|Tracheotomy Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Continuous Positive Airway Pressure (CPAP) D… Accepts assignmentParticipating since Oct 12, 2018

National Provider Directory

National Provider Directory
Tax ID family
Super Care Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3625 W Teco Ave
Ste B
Las Vegas, NV 89118

3625 W Teco Ave
Ste 8
Las Vegas, NV 89118

NPI Registry JSON

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1679932198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16017 VALLEY BLVD.",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917445424",
            "telephone_number": "800-206-4880",
            "fax_number": "626-723-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6380 S VALLEY VIEW BLVD STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183908",
            "telephone_number": "800-206-4880",
            "fax_number": "626-723-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-11",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "CASSAR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-206-4880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NV",
            "license": "MP01363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SuperCare Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SuperCare Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.