CUSTOM HEALTHCARE, LLC (NPI# 1326511643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326511643 |
| Entity Type | Organization |
| Organization Name | CUSTOM HEALTHCARE, LLC |
| Practice Address |
110 Palmetto Pkwy Belton SC 29627-2126 |
| Mailing Address |
3700 Brainerd Rd Ste 134 Chattanooga TN 37411-3603 |
| Practice Telephone | 8643921750 |
| Practice Fax Number | 7067400787 |
| Mailing Telephone | 4236970057 |
| Mailing Fax Number | 4236489366 |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-01-09 |
| Authorized Official Name | JAMES ROGERS (CEO) |
| Authorized Official Telephone | 4236970057 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers | ||
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
| Other Name | Type Code |
|---|---|
| Phoenix Rehab & Mobility | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588122394 | Custom Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1101 Old Creek Rd Ste A1, Athens, GA 30607-1090 | 2019-03-11 |
| 1366900391 | Custom Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 410 Dromedary St, Woodbury, GA 30293-3560 | 2019-03-08 |
| 1285109645 | Custom Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 48 Morrison Ln, Ringgold, GA 30736-7277 | 2018-10-11 |
| 1083195663 | Custom Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 902 12th St Ste B, Phenix City, AL 36867-5827 | 2018-08-22 |
| 1538437215 | Custom Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 201 Center Park Dr Ste 1000, Knoxville, TN 37922-2105 | 2011-12-08 |
| 1770863532 | Custom Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 806 Ulrich Ave, Louisville, KY 40219-1846 | 2011-08-25 |
| 1952451296 | Custom Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2150 N Ocoee St Ste C, Cleveland, TN 37311-3936 | 2007-01-11 |
| 1093017642 | Custom Healthcare, LLC | Prosthetic/Orthotic Supplier | 1508 N Thornton Ave, Ste 104, Dalton, GA 30720-8516 | 2010-12-01 |
| 1730481383 | Custom Healthcare, LLC | Prosthetic/Orthotic Supplier | 2400 E Andrew Johnson Hwy, Greeneville, TN 37745-0948 | 2010-12-01 |
| 1275583783 | Custom Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3700 Brainerd Rd, Chattanooga, TN 37411-3603 | 2006-05-12 |
| Street Address |
110 PALMETTO PKWY |
| City | BELTON |
| State | SC |
| Zip Code | 29627-2126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467900878 | Ramona Jean Weeks | Licensed Practical Nurse | 101 Dawn Drive, Belton, SC 29627 | 2016-09-14 |
| 1740539550 | William Glenn Culbertson | Pharmacist | 222 South Main St, Belton, SC 29627 | 2012-09-07 |
| 1205134863 | Melissa C Hamilton | Pharmacist | 106 Highway 28 Bypass, Anderson, SC 29627 | 2011-03-07 |
| 1154518538 | James Thomas Burriss | Dentist | 1000 Pine Top Road, Belton, SC 29627 | 2007-09-28 |
| 1083964589 | Rachell Gaines | Pharmacist | 222 South Main St, Belton, SC 29627 | 2012-09-12 |
| 1942340203 | Lyndi Watson Carwile | Pharmacist | 727 Anderson St, Belton, SC 29627 | 2007-02-07 |
| 1063596146 | Paul Hampton Kennemore IIi | Dentist | 121 River St, Belton, SC 29627-1416 | 2006-10-25 |
| 1164507208 | Ronald Edward Tysl | Dentist | 121 River St, Belton, SC 29627-1416 | 2006-10-26 |
| 1336274711 | John Calvin Neel Iv | Chiropractor | 200 City Sq, Belton, SC 29627-1433 | 2007-02-23 |
| 1275163206 | Nicholas Stephen Metropol | Pharmacist | 426 S Main St, Belton, SC 29627-1524 | 2020-01-17 |
| Find all providers in zip 29627 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952504755 | Homecare Medical Aids, Inc. | Durable Medical Equipment & Medical Supplies | 727 E Anderson St, Belton, SC 29627-2100 | 2007-06-08 |
| 1205030699 | Serc Hand of Cass County L.L.C. | Durable Medical Equipment & Medical Supplies | 17134 Bel Ray Pl, Belton, MO 64012-5331 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619577665 | Mobilityworks, LLC | Durable Medical Equipment & Medical Supplies | 11816 Frontage Rd., Murrells Inlet, SC 29576 | 2020-10-29 |
| 1588217830 | Bennett Wholesale Distributors, LLC | Durable Medical Equipment & Medical Supplies | 300 Long Pointe Ln Ste 220-o, Columbia, SC 29229-7543 | 2019-07-16 |
| 1255840310 | Lovely Doves Dme | Durable Medical Equipment & Medical Supplies | 1509 N Longstreet St, Kingstree, SC 29556-2416 | 2017-09-21 |
| 1710408836 | Freedom Mobility Center, Inc. | Durable Medical Equipment & Medical Supplies | 224 Oneil Ct Ste 23, Columbia, SC 29223-7649 | 2017-06-28 |
| 1780135269 | Western Carolina O & P | Durable Medical Equipment & Medical Supplies | 366 S Pine St, Spartanburg, SC 29302-2624 | 2016-10-19 |
| 1255882908 | South Carolina Dental Sleep Center, LLC | Durable Medical Equipment & Medical Supplies | 1405 Brushy Creek Rd Ste B, Taylors, SC 29687-4008 | 2016-10-18 |
| 1619424264 | Dr. Timothy Gross' Dental Excellence LLC | Durable Medical Equipment & Medical Supplies | 15 Bow Cir, Suite 104, Hilton Head Island, SC 29928-3211 | 2016-09-01 |
| 1871953620 | Pediatric Mobility Innovations, Inc. | Durable Medical Equipment & Medical Supplies | 4458 Augusta Rd, Ste 1b, Lexington, SC 29073-7155 | 2016-03-07 |
| 1295113892 | United Seating and Mobility LLC | Durable Medical Equipment & Medical Supplies | 16b Brozzini Ct, Greenville, SC 29615-5339 | 2015-05-14 |
| 1417342791 | Function Abilities, LLC | Durable Medical Equipment & Medical Supplies | 211 Eddings Point Rd, Saint Helena Island, SC 29920-3911 | 2015-04-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.