Organization Active NPI

Custom Healthcare of Georgia LLC

  • Customized Equipment (DME)
  • Atlanta, GA
National Provider Identifier
1154334266
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
176292 Issued in GA
Legal business name
CUSTOM HEALTHCARE OF GEORGIA LLC
Doing business as
Numotion
Practice address
3097 Presidential Dr
Suite F
Atlanta, GA 30340-3914
Phone
(770) 220-1570
Fax
(770) 220-1571
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Authorized official

Name
Tamas Feitel
Title
Cfo
Phone
(860) 257-3443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 176292 GA Primary

Addresses

Primary practice location

3097 Presidential Dr
Suite F
Atlanta, GA 30340-3914

Mailing address

2700 Lord Baltimore Dr
Baltimore, MD 21244-2648
Phone (410) 907-8500

Other names 1

  • Numotion Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3097 Presidential Dr
Ste F
Atlanta, GA 30340
Phone (770) 220-1570

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1154334266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 LORD BALTIMORE DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442648",
            "telephone_number": "410-907-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3097 PRESIDENTIAL DR",
            "address_2": "SUITE F",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303403914",
            "telephone_number": "770-220-1570",
            "fax_number": "770-220-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM HEALTHCARE OF GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "FEITEL",
        "authorized_official_first_name": "TAMAS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "860-257-3443"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "GA",
            "license": "176292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Numotion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.