Organization Active NPI

Custom Medical Systems, Inc.

  • Customized Equipment (DME)
  • Palmetto, FL
National Provider Identifier
1710162912
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
542 Issued in FL
Legal business name
CUSTOM MEDICAL SYSTEMS, INC.
Practice address
404 10TH Ave W
Palmetto, FL 34221-5032
Phone
(941) 722-3434
NPI assigned
Jan 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Alan A. Lovesky, A.T.S.NPI 1205853058
Title
Owner/MGR
Phone
(941) 722-3434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 542 FL Primary

Addresses

Primary practice location

404 10TH Ave W
Palmetto, FL 34221-5032

Mailing address

404 10TH Ave W
Palmetto, FL 34221-5032
Phone (941) 722-3434

Other identifiers 5

IdentifierTypeStateIssuer
671444798OtherFLHOME & COMM. BASE WAIVER
686838079OtherFLBRAIN & SPINAL WAIVER
671444796OtherFLDEVELOPMT DISAB WAIVER
686628000OtherFLAGE & DIS PERSON WAIVER
028786500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930040316 FL DME Supplier - Medical Supply Company 3476673781 Practice locations: Palmetto, FL

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Custom Medical Systems Inc404 10TH Ave West, Palmetto, FL 34221-5032(941) 722-3434 Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Patient Lifts|Power Operated Vehicles (Scooters)|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchairs (Standard Power)|Wheelchairs (Standard Power Related Access… Does not accept assignmentParticipating since Jan 1, 2003

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1710162912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 10TH AVE W",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342215032",
            "telephone_number": "941-722-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 10TH AVE W",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342215032",
            "telephone_number": "941-722-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM MEDICAL SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "LOVESKY",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/MGR",
        "authorized_official_telephone_number": "941-722-3434",
        "authorized_official_credential": "A.T.S."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": "542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME & COMM. BASE WAIVER",
            "identifier": "671444798",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRAIN & SPINAL  WAIVER",
            "identifier": "686838079",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEVELOPMT DISAB WAIVER",
            "identifier": "671444796",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGE & DIS PERSON WAIVER",
            "identifier": "686628000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028786500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.