Custom Care Solutions, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CUSTOM CARE SOLUTIONS, LLC

Practice address

204 Quince St NE
Suite 100
Olympia, WA 98506-4009

Phone

(360) 753-7224

Fax

(360) 705-2413

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Rebecca A Kjer

Title

Managing Member

Phone

(360) 753-7224

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jodi R Kirkwood

  • Orthotic Fitter
  • Olympia, WA
  • NPI 1972765295
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1508958885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1965",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985071965",
            "telephone_number": "360-753-7224",
            "fax_number": "360-705-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 QUINCE ST NE",
            "address_2": "SUITE 100",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064009",
            "telephone_number": "360-753-7224",
            "fax_number": "360-705-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM CARE SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "KJER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "360-753-7224",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "8989CU",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9057852",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas K Curry, MD
• Curtis D. Reinke, MD, PS
• Tara Curtis
• Heather Cushing, PA-C
• Jenny Allison Cushing
• Melissa Jese Czichas, MA, LMFT, CPC
• Adriana M D'Amelio, ARNP
• Jennifer J Dacus, MD
• Katherina Daczko
• Edward I. Dagher, MD

• Durable Medical Equipment & Medical Supplies in Olympia, WA
• Providers in Olympia, WA by specialty
• Durable Medical Equipment & Medical Supplies in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; 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.