Custom Healthcare Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

06 00002371 Issued in LA

Legal business name

CUSTOM HEALTHCARE INC

Practice address

1011 N 7TH St
Ste 2
West Monroe, LA 71291-4215

Phone

(318) 410-9222

Fax

(318) 410-1889

NPI assigned

Aug 14, 2006

Organization subpart

No

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

Authorized official

Name

Sonia Lee Villescas

Title

Sr MGR Licensing & Credentialing

Phone

(314) 447-7515

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Numotion Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Custom Healthcare Inc

  • Customized Equipment (DME)
  • Baton Rouge, LA
  • NPI 1114930138

  7719007913

  Same PAC ID
• Custom Healthcare Inc

  • Customized Equipment (DME)
  • Lake Charles, LA
  • NPI 1437161692

  7719007913

  Same PAC ID
• Custom Healthcare Inc

  • Customized Equipment (DME)
  • Bossier City, LA
  • NPI 1922143023

  7719007913

  Same PAC ID

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

Tax ID family

Custom Healthcare Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Custom Healthcare Inc

  • Customized Equipment (DME)
  • Baton Rouge, LA
  • NPI 1114930138
  NPD tax ID
• Custom Healthcare Inc

  • Customized Equipment (DME)
  • Lake Charles, LA
  • NPI 1437161692
  NPD tax ID
• Custom Healthcare Inc

  • Customized Equipment (DME)
  • Bossier City, LA
  • NPI 1922143023
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• United Seating and Mobility LLC

  • Durable Medical Equipment & Medical Supplies
  • New Hyde Park, NY
  • NPI 1538576509

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1922011956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 BROOK ST STE 402",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673431",
            "telephone_number": "314-447-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N 7TH ST",
            "address_2": "STE 2",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712914215",
            "telephone_number": "318-410-9222",
            "fax_number": "318-410-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "VILLESCAS",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "SR MGR LICENSING & CREDENTIALING",
        "authorized_official_telephone_number": "314-447-7515"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "LA",
            "license": "06 00002371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209556716",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2407171",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Numotion",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Numotion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaeda Crosby, RPH
• Jimmy Aaron Crosby, LMT
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• Billie Jo Cullins, LPN
• Sandra Culp, DDS
• Cynthia P. Bimle, MD, Apmc
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• D Williams Medical Transportation LLC
• Dustin Daigle, CRNA
• Dalco Enterprises Inc

• Customized Equipment (DME) in West Monroe, LA
• Providers in West Monroe, LA by specialty
• Customized Equipment (DME) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.