Customcare

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

CUSTOMCARE

Doing business as

CustomCare

Practice address

5300 Whirlwind Cove Dr
Hilliard, OH 43026-8911

Phone

(614) 446-7708

NPI assigned

Dec 9, 2020

Last updated

Dec 9, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Abdulkadir Farah

Title

Ceo

Phone

(614) 446-7708

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CustomCare Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1104422617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 WHIRLWIND COVE DR",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430268911",
            "telephone_number": "614-446-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 WHIRLWIND COVE DR",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430268911",
            "telephone_number": "614-446-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOMCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "ABDULKADIR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-446-7708"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0415872",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CustomCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Ellis Cubbison, PT, DPT
• Megan Culver
• Tara Cummings
• Bethany Cunningham, PHARM.D.
• Jessica Lynn Curry
• Amanda Marie D'Agostino, DPT
• Cameron Dabbs
• Asma Basem Dajani, M.D.
• Karmela Marie Dalisay, MD
• Maggie Dangler

• Developmentally Disabled Services Day Training Agency in Hilliard, OH
• Providers in Hilliard, OH by specialty
• Developmentally Disabled Services Day Training Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.