CUSTOM FAMILY CARE, LLC (NPI# 1053839811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053839811 |
| Entity Type | Organization |
| Organization Name | CUSTOM FAMILY CARE, LLC |
| Other Organization Name | CUSTOM FAMILY CARE |
| Practice Address |
279 Hughes Rd Madison AL 35758-1142 |
| Practice Telephone | 2562891733 |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2018-04-04 |
| Authorized Official Name | IVAN PIVOVAROV (PHYSICIAN) |
| Authorized Official Telephone | 2563250480 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Custom Family Care | Doing Business As Name - Organization |
| Street Address |
279 HUGHES RD |
| City | MADISON |
| State | AL |
| Zip Code | 35758-1142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467662148 | Ivan Pivovarov | Family Medicine | 279 Hughes Rd, Madison, AL 35758-1142 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487299277 | Hanging Lanes Christian Wellness Ministries and Counseling Center | Counselor | 650 Sun Temple Drive, Madison, AL 35758 | 2019-11-15 |
| 1104487396 | Caroline Thomas Estes | Occupational Therapist | 8475 Wann Drive, Madison, AL 35758 | 2019-06-27 |
| 1265902894 | Sharinne Summers Sears | Registered Nurse | 204 Grove Village Way, Madison, AL 35758 | 2018-11-27 |
| 1013484666 | Lori Pohly | Counselor | 190 Lime Quarry Road, Suite 212, Madison, AL 35758 | 2018-10-31 |
| 1174022297 | Rhonda Marie Stalb | Marriage & Family Therapist | 650 Sun Temple Dr Ste 101, Madison, AL 35758 | 2018-02-04 |
| 1528585932 | Alabama Dental Professionals, PC | Dentist | 7666 Highway 72 W, Madison, AL 35758 | 2017-08-25 |
| 1134658537 | Diane Bierbauer | Dietitian, Registered | 520 Thoreau Spring Ct, Madison, AL 35758 | 2017-06-08 |
| 1255870408 | Maggie Collins | Nurse Practitioner | 7559 U.S. 72, Madison, AL 35758 | 2017-02-21 |
| 1649648858 | Terry A. Burgess | Dentist | 810 Palmer Plaza, # 103, Madison, AL 35758 | 2015-09-03 |
| 1063896314 | Caswall C Harrigan Physician PC | Family Medicine | Madison Medical Plaza 540 Hughes Road, Suite 14, Madison, AL 35758 | 2015-07-16 |
| Find all providers in zip 35758 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
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|---|---|---|---|---|
| 1508465220 | Pivotal Health, Inc. | Clinic/Center | 7317 Whitacre Rd, Madison, WI 53717-1327 | 2020-10-23 |
| 1194274472 | Qc Wellness, LLC | Clinic/Center | 7500 Highway 72 W, Madison, AL 35758-9554 | 2016-09-27 |
| 1942676044 | Urgent Care of Madison PC | Clinic/Center | 3751 Sullivan St, Madison, AL 35758-1707 | 2015-08-12 |
| 1811329360 | Asap Medical Associates PC | Clinic/Center | 154 Samson Rock Dr, Madison, CT 06443-3018 | 2013-08-07 |
| 1407140817 | Sleep & Pulmonary Care Center P.C. | Clinic/Center | 105 W Dublin Dr, Madison, AL 35758-1787 | 2011-06-02 |
| 1689851552 | American Current Care Pa | Clinic/Center | 358 Junction Road, Madison, WI 53717-2612 | 2008-01-23 |
| 1962689836 | American Current Care Pa | Clinic/Center | 1619 North Stoughton Road, Madison, WI 53704-2603 | 2008-01-23 |
| 1316136294 | American Current Care, P.a. | Clinic/Center | 1719 Gallatin Road, Madison, TN 37115-2123 | 2007-10-17 |
| 1376089011 | After Hours Urgent Care, LLC | Clinic/Center | 1550 Eatonton Rd, Madison, GA 30650-4627 | 2017-01-18 |
| 1609252568 | Robin Neal | Clinic/Center | 7583 Wall Triana Hwy, Madison, AL 35757-8327 | 2015-08-03 |
| Find all providers in MADISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.