Custom Rehab Solutions, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

06981/11.1 Issued in MS

Legal business name

CUSTOM REHAB SOLUTIONS, INC.

Practice address

517 Liberty Rd
BLDG 2 Suite C
Flowood, MS 39232-8028

Phone

(601) 664-1090

Fax

(601) 664-1091

NPI assigned

May 7, 2006

Last updated

Aug 22, 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

Mr. Scott Cumberland

Title

Owner

Phone

(601) 317-5022

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1146960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326097577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 LIBERTY RD",
            "address_2": "BLDG 2 SUITE C",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328028",
            "telephone_number": "601-664-1090",
            "fax_number": "601-664-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 LIBERTY RD",
            "address_2": "BLDG 2 SUITE C",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328028",
            "telephone_number": "601-664-1090",
            "fax_number": "601-664-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM REHAB SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CUMBERLAND",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-317-5022",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "06981/11.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03175733",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trish Nicole Crump, LCSW
• Ashley Culbertson
• Edward Thomas Cullom III, M.D.
• Charisma T. Cummings, PCNP
• Curana Health of Mississippi LLC
• Manisha Pritam Dadlani, PHARMD
• Mary Carol Damon
• Tasha Nicole Dampier, FNP
• Suman Kumar Das, MD
• Stephen Davidson, M.D.

• Durable Medical Equipment & Medical Supplies in Flowood, MS
• Providers in Flowood, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.