Organization Active NPI

Customized Care LLC

  • In Home Supportive Care Agency
  • Greenville, SC
National Provider Identifier
1982943593
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CUSTOMIZED CARE LLC
Practice address
1 Chick Springs Rd Ste 207B
Greenville, SC 29609-4971
Phone
(864) 520-1144
Fax
(864) 520-1145
NPI assigned
Feb 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2013

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

Authorized official

Name
Corey L. Robinson
Title
Onwer
Phone
(864) 350-0035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1 Chick Springs Rd Ste 207B
Greenville, SC 29609-4971

Mailing address

1 Chick Springs Rd Ste 207B
Greenville, SC 29609-4971
Phone (864) 520-1144

National Provider Directory

National Provider Directory

Locations

1 Chick Springs Rd
Ste 207B
Greenville, SC 29609
Phone (864) 283-0221

NPI Registry JSON

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377216000000",
    "number": "1982943593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHICK SPRINGS RD STE 207B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296094971",
            "telephone_number": "864-520-1144",
            "fax_number": "864-520-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHICK SPRINGS RD STE 207B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296094971",
            "telephone_number": "864-520-1144",
            "fax_number": "864-520-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOMIZED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ONWER",
        "authorized_official_telephone_number": "864-350-0035"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; 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.