CUSTOM HEALTHCARE LLC NPI 1083195663

NPI Information

NPI: 1083195663
Provider Name: CUSTOM HEALTHCARE, LLC

Doing Business As: PHOENIX REHAB & MOBILITY

Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
902 12TH ST STE B
PHENIX CITY, AL
ZIP 36867
Phone: (334) 560-5777
Get Directions

CUSTOM HEALTHCARE, LLC is a customized equipment durable medical equipment medical supplies in Phenix City, AL. CUSTOM HEALTHCARE, LLC NPI is 1083195663. The provider is registered as an organization entity type.
The provider Is Doing Business As Phoenix Rehab & Mobility.

The provider's business location address is:

902 12TH ST STE B
PHENIX CITY, AL
ZIP 36867-827
Phone: (334) 560-5777
Fax: (423) 648-9366

The provider's authorized official is James C Rogers .
The authorized official title is Ceo and has the following contact phone number (423) 697-0057.

The enumeration date for this NPI number is 8/22/2018 and was last updated on 3/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		1511	ALABAMA	No
2	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	1511	ALABAMA	Yes
3	335E00000X	Prosthetic/Orthotic Supplier				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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