Custom Healthcare, LLC
Organization Active NPI Customized Equipment (DME) · Belton, SC
NPI 1326511643 · NPPES record last updated Jan 9, 2019
Key facts
- NPI
- 1326511643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Customized Equipment (DME) 332BC3200X
- Legal business name
- CUSTOM HEALTHCARE, LLC
- Practice address
- 110 Palmetto Pkwy
Belton, SC 29627-2126 - Phone
- (864) 392-1750
- Fax
- (706) 740-0787
- NPI assigned
- Jan 9, 2019
- Organization subpart
- No
Authorized official
- Name
- James Rogers
- Title
- Ceo
- Phone
- (423) 697-0057
Corporate family (same tax ID) 11
National Provider Directory
- Tax ID family
- Custom Healthcare
Locations
110 Palmetto Pkwy
Belton, SC 29627
Phone (864) 392-1750
3700 Brainerd Rd
Ste 134
Chattanooga, TN 37411
Phone (423) 697-0057
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Customized Equipment (DME) | 332BC3200X | Yes | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X |
Addresses
Primary practice location
110 Palmetto Pkwy
Belton, SC 29627-2126
Mailing address
3700 Brainerd Rd Ste 134
Chattanooga, TN 37411-3603
Phone (423) 697-0057
Other names
- Phoenix Rehab & Mobility
Other providers in Belton, SC
- Clinkscales Drugs Inc
- Clinkscales Drugs Inc.
- Henry Cox Clinkscales
- Makayla Marie Cole
- William Glenn Culbertson
- John Paul Davis
- Cortney Shantres Ellis
- Alyssa Danielle Erskine
- Family Care Management, LLC
- Jonathan Alexander Fernandez
All providers in Belton, SC · Customized Equipment (DME) in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.