Custom Healthcare, Llc

LBN: Custom Healthcare, Llc
Custom Healthcare, Llc is an health care organization with primary practice located at 201 Center Park Dr Ste 1000 , Knoxville TN 37922-2105. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Custom Healthcare, Llc can be contacted via phone (865) 966-4452, or through Rogers, James C via phone (423) 697-0057.

Contact Information

Primary practice address
201 Center Park Dr Ste 1000 Knoxville TN 37922-2105
Phone: (865) 966-4452
Fax: (865) 966-4457
Website:
Map and Directions
Authorized official contact:
Name: Rogers, James C
Phone: (423) 697-0057

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Customized Equipment 332BC3200X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1538437215
LBN Legal business name Custom Healthcare, Llc
DBA Doing business as
Authorized official Rogers, James C
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2011
Last updated Dec 8th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538437215 NPPES
Tennessee MEDICAID 1455062

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