CUSTOM HEALTHCARE LLC NPI 1285109645

NPI Information

  • NPI: 1285109645
  • Provider Name: CUSTOM HEALTHCARE, LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
  • Specialization: Customized Equipment
  • Entity Type: Organization
  • Doing Business As: PHOENIX REHAB & MOBILITY
  • Address: 48 MORRISON LN
    RINGGOLD, GA
    ZIP 30736
  • Phone: (706) 935-2352

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NPI Details

CUSTOM HEALTHCARE, LLC is a customized equipment durable medical equipment medical supplies in Ringgold, GA. CUSTOM HEALTHCARE, LLC NPI is 1285109645. 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:

48 MORRISON LN
RINGGOLD, GA
ZIP 30736-277
Phone: (706) 935-2352

The provider's authorized official is James 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 10/11/2018 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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentYes
3335E00000XProsthetic/Orthotic SupplierNo

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: 11/21/2025

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