CUSTOM HEALTHCARE, LLC (NPI# 1538437215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538437215 |
| Entity Type | Organization |
| Organization Name | CUSTOM HEALTHCARE, LLC |
| Practice Address |
201 Center Park Dr Ste 1000 Knoxville TN 37922-2105 |
| Mailing Address |
3700 Brainerd Rd Chattanooga TN 37411-3603 |
| Practice Telephone | 8659664452 |
| Practice Fax Number | 8659664457 |
| Mailing Telephone | 4236970057 |
| Mailing Fax Number | 4236489366 |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2011-12-08 |
| Authorized Official Name | JAMES C ROGERS (CEO) |
| Authorized Official Telephone | 4236970057 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1455062 | 05 |
| 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 |
| 1326511643 | Custom Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 110 Palmetto Pkwy, Belton, SC 29627-2126 | 2019-01-09 |
| 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 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | CUSTOM HEALTHCARE, LLC | 3700 Brainerd Rd, Chattanooga, TN 37411 |
| Street Address |
201 CENTER PARK DR STE 1000 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37922-2105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184132185 | Kimberly Zitko | Pharmacist | 400 Goody's Lane, Knoxville, TN 37922 | 2018-01-12 |
| 1366959314 | Matthew Smith | Physician Assistant | 1424 Randall Park Dr, Knoxville, TN 37922 | 2017-12-29 |
| 1174052823 | 24/7 Healthcare, Inc. | Nursing Care | 110 Center Park Drive, Suite 101, Knoxville, TN 37922 | 2017-06-07 |
| 1023543477 | Open Arms Care Corp | Intermediate Care Facility, Mentally Retarded | 12625 S Northshore Dr, Knoxville, TN 37922 | 2017-04-24 |
| 1275905440 | Milligan Surgical Associates, Pllc | Surgery | 1919 Pinnacle Pointe Way, Knoxville, TN 37922 | 2015-10-27 |
| 1275904096 | Medical Necessities & Services LLC | Durable Medical Equipment & Medical Supplies | 9327 S Northshore Dr, Knoxville, TN 37922 | 2015-10-20 |
| 1841668126 | Chad Szala | Behavioral Analyst | 10721 Chapman Hwy #22, Knoxville, TN 37922 | 2015-09-03 |
| 1275916470 | Nikki Nicole Peoples | Acupuncturist | 10406 Jackson Oaks Way Ste A, Knoxville, TN 37922 | 2015-07-07 |
| 1538577747 | Susan Carter | Optometrist | 2053 Thunderhead Rd, Knoxville, TN 37922 | 2014-07-31 |
| 1366868135 | Heartland Infusion | Clinic/Center | 9943 Kingston Pike, Knoxville, TN 37922 | 2014-03-17 |
| Find all providers in zip 37922 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827437 | Gb 3445, LLC | Durable Medical Equipment & Medical Supplies | 10820 Kingston Pike Ste 6, Knoxville, TN 37934-3065 | 2020-10-08 |
| 1386241859 | Covenant Medical Group, Inc | Durable Medical Equipment & Medical Supplies | 2001 Laurel Ave Ste 503, Knoxville, TN 37916-1823 | 2020-10-07 |
| 1891331336 | Caremax Community Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 418 S Gay St # 104, Knoxville, TN 37902-1134 | 2019-11-19 |
| 1578125126 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4935 Millertown Pike, Knoxville, TN 37917-2115 | 2019-07-03 |
| 1104301415 | Designed By Nature, Inc | Durable Medical Equipment & Medical Supplies | 1915 White Ave Fl 2, Knoxville, TN 37916-2300 | 2018-10-02 |
| 1912482225 | Designed By Nature, Inc. | Durable Medical Equipment & Medical Supplies | 1926 Alcoa Hwy Ste 110, Knoxville, TN 37920-1559 | 2018-10-02 |
| 1427534890 | Tech Med Services LLC | Durable Medical Equipment & Medical Supplies | 6919 Neal Chase Way, Knoxville, TN 37918-5251 | 2018-07-18 |
| 1871085357 | Paramount Healthcare | Durable Medical Equipment & Medical Supplies | 6716 Central Avenue Pike, Knoxville, TN 37912-1425 | 2018-05-31 |
| 1811433030 | Adapthealth Patient Care Solutions Inc. | Durable Medical Equipment & Medical Supplies | 311 S Concord St, Suite 311, Knoxville, TN 37919-3304 | 2017-01-11 |
| 1013467505 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3120 Mckamey Rd, Knoxville, TN 37921-4982 | 2016-10-07 |
| Find all providers in KNOXVILLE | ||||
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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.