Custom Family Care

LBN: Custom Family Care, Llc
Custom Family Care is an health care organization with primary practice located at 279 Hughes Rd , Madison AL 35758-1142. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Urgent Care. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Custom Family Care, Llc can be contacted via phone (256) 289-1733, or through Pivovarov, Ivan via phone (256) 325-0480.

Contact Information

Primary practice address
279 Hughes Rd Madison AL 35758-1142
Phone: (256) 289-1733
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pivovarov, Ivan Doctor of Medicine (MD)
Phone: (256) 325-0480

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1053839811
LBN Legal business name Custom Family Care, Llc
DBA Doing business as Custom Family Care
Authorized official Pivovarov, Ivan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2017
Last updated Jun 2nd, 2021 - about 5 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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