Kustom Made Llc

LBN: Kustom Made Llc
Kustom Made Llc is an health care organization with primary practice located at 21841 Kenosha St , Oak Park MI 48237-2651. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Contractor, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Kustom Made Llc can be contacted via phone (248) 890-9660, or through Coates, Patrice via phone (248) 890-9660.

Contact Information

Primary practice address
21841 Kenosha St Oak Park MI 48237-2651
Phone: (248) 890-9660
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Coates, Patrice
Phone: (248) 890-9660

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1124776828
LBN Legal business name Kustom Made Llc
DBA Doing business as
Authorized official Coates, Patrice
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2022
Last updated Mar 13th, 2022 - about 4 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 1124776828 NPPES
Other 1962840124 NPI

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