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CUSTOM CARE ORTHOTICS AND PROSTHETICS INC. NPI 1881698678


NPI Information

NPI: 1881698678
Provider Name: CUSTOM CARE ORTHOTICS AND PROSTHETICS, INC.
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
1125 HEBRON RD
HEATH, OH
ZIP 43056
Phone: (740) 344-4925
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CUSTOM CARE ORTHOTICS AND PROSTHETICS, INC. is a prosthetic orthotic supplier in Heath, OH. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. CUSTOM CARE ORTHOTICS AND PROSTHETICS, INC. NPI is 1881698678. The provider is registered as an organization entity type.

The provider's business location address is:

1125 HEBRON RD
HEATH, OH
ZIP 43056-158
Phone: (740) 344-4925
Fax: (740) 344-4926

The provider's authorized official is Michael Houska .
The authorized official title is Owner and has the following contact phone number (740) 344-4925.

The enumeration date for this NPI number is 6/9/2005 and was last updated on 1/29/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesOHIONo
2335E00000XProsthetic/Orthotic SupplierLP-146OHIONo
3335E00000XProsthetic/Orthotic SupplierLO-0107OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10119341MEDICAIDOHIO
2NORTHWOODOTHEROHIO80457
3ANTHEMOTHEROHIO000000155239

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

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