Organization · Type 2 NPI

Custom Healthcare, LLC

Prosthetic/Orthotic Supplier · Cleveland, TN

NPI number 1952451296 Active

Practice location

2150 N Ocoee St Ste C
Cleveland, TN 37311-3936

Call (423) 559-0013 Map

Fax (423) 559-2442

Mailing address

3700 Brainerd Rd
Chattanooga, TN 37411-3603

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Customized Equipment (DME)	332BC3200X	None listed
Prosthetic/Orthotic Supplier Primary	335E00000X	None listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Other prosthetic/orthotic supplier providers in Cleveland

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NPI record

NPI: 1952451296
Entity type: Organization (Type 2)
Issued: Jan 11, 2007
Last updated: Aug 22, 2019
Status: Active

Other names

<unavail>
PPS Orthotic & Prosthetic Services · doing business as
PPS Orthotic & Prosthetic Services · doing business as

Authorized official

Mr. James C Rogers
CEO
(423) 697-0057

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1952451296

Custom Healthcare, LLC's National Provider Identifier is 1952451296, issued on Jan 11, 2007. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Cleveland, TN. The record was last updated on Aug 22, 2019.