Customized Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CUSTOMIZED HOME HEALTH CARE LLC

Practice address

6161 Busch Blvd Ste 126
Columbus, OH 43229-2553

Phone

(614) 260-4347

NPI assigned

Mar 11, 2021

Last updated

Apr 22, 2021By 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

Hassan ArtanNPI 1730773920

Title

Owner

Phone

(614) 260-4347

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306421417. Details of each certification follow.

• CCN 369310 Home health agency · Active · Details

Home health agency certification: CCN 369310

Legal name

CUSTOMIZED HOME HEALTH CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 23, 2022

Last certification

Mar 3, 2022

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Dec 25, 2020 in OH

Enrollment address

6161 Busch Blvd
Ste 126
Columbus, OH 43229-2553
HHA Branch

Listed as

Customized Home Health Care LLCCCN 369310 · All quality measures

Ownership

Proprietary

Certified

Mar 23, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hassan Artan

  • Home Health Aide
  • Columbus, OH
  • NPI 1730773920
  NPD Authorized official

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1306421417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 BUSCH BLVD STE 126",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432292553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 BUSCH BLVD STE 126",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432292553",
            "telephone_number": "614-260-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOMIZED HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "ARTAN",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-260-4347"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Custer, MSN, RN, CPNP-PC
• Anne M Custis
• Natalie Jane Custis, MS, CNP
• Customized Behavioral Healthcare
• Customized Behavioral Healthcare
• Customprescription
• Customprescription Inc
• Elaine Cutler, PHARMD, BCOP
• Gregory Louis Cvetanovich, M.D.
• Eric John Cwynar, DPM

• Home Health Agency in Columbus, OH
• Providers in Columbus, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.