CUSTOM SPECIALTY PRODUCTS, LTD. (NPI# 1215058086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215058086 |
| Entity Type | Organization |
| Organization Name | CUSTOM SPECIALTY PRODUCTS, LTD. |
| Practice Address |
490 Union Ave Providence RI 02909-4808 |
| Practice Telephone | 4019421773 |
| Practice Fax Number | 4019445571 |
| Mailing Telephone | 4019421773 |
| Mailing Fax Number | 4019445571 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2007-07-10 |
| Authorized Official Name | MRS. BARBARA MCNAMARA (CEO & PRES.) |
| Authorized Official Telephone | 4019421773 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171WH0202X |
Contractor Specialization: Home Modifications |
15710 | RI | Other Service Providers |
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
15710 | RI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | DME PROVIDER | CS29152 | 01 |
| Street Address |
490 UNION AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02909-4808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578021754 | Roberta Bellas Portugal | Registered Nurse | Behave Care, 188 Valley St, Providence, RI 02909 | 2019-03-07 |
| 1912137324 | Catherine Elaine Tuttle | Social Worker | 623 Atwells Avenue, Suite 201, Providence, RI 02909 | 2009-07-20 |
| 1477736452 | City Dental, LLC | Dentist | 314f Pocasset Avenue, Providence, RI 02909 | 2007-12-12 |
| 1245449651 | Walter R. Vandyck | Occupational Therapist | Springfield Middle School, Providene School Department, 152 Springfield St, Providence, RI 02909 | 2007-05-22 |
| 1780805283 | Marcel A Trisvan | Counselor | Codac Providence, 349 Huntington Ave, Providence, RI 02909 | 2007-05-01 |
| 1215153945 | Codac Inc | Peer Specialist | 349 Huntington Ave, Codac Providence, Providence, RI 02909 | 2007-04-18 |
| 1316076342 | Mulak Chiropractic Center Inc | Chiropractor | 411 Broadway, Providence, RI 02909 | 2007-03-05 |
| 1710042742 | Michael Antonio Pensa | Chiropractor | 45 Eagle St Bld J Unit 100, Providence, RI 02909 | 2006-12-27 |
| 1780768234 | Providence Community Action | Case Management | 662 Hartford Avenue, Providence, RI 02909 | 2006-10-24 |
| 1881629608 | Cora Brigid Mayer | Counselor | 623 Atwells Ave., Communities for People, Inc., Providence, RI 02909 | 2006-07-11 |
| Find all providers in zip 02909 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255549838 | Department of Human Services | Durable Medical Equipment & Medical Supplies | 40 Fountain St, 3rd Floor, Providence, RI 02903-1830 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598399958 | Voodoo Mobility LLC | Durable Medical Equipment & Medical Supplies | 125 Underwood Ave, Warwick, RI 02888-1253 | 2020-02-25 |
| 1942732532 | Talknology, LLC | Durable Medical Equipment & Medical Supplies | 111 Vaughn Ave, Warwick, RI 02886-3128 | 2017-04-01 |
| 1811435928 | Jdb Enterprises, LLC | Durable Medical Equipment & Medical Supplies | 19 Wales St, Cranston, RI 02920-7420 | 2017-02-09 |
| 1245354653 | Suburban Hearing Aid Center | Durable Medical Equipment & Medical Supplies | 2907 Post Rd, Warwick, RI 02886-3146 | 2007-03-19 |
| 1467486779 | Medi-rents, Inc | Durable Medical Equipment & Medical Supplies | 33a Plan Way, Warwick, RI 02886-1013 | 2006-07-10 |
| 1053370247 | Northeast Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 31 Western Industrial Drive, Cranston, RI 02921 | 2006-03-17 |
| 1831195551 | Majors Medical Supply | Durable Medical Equipment & Medical Supplies | 197 Putnam Pike, Johnston, RI 02919-1468 | 2005-06-27 |
| 1144866450 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1 Cvs Dr, Woonsocket, RI 02895-6146 | 2019-11-21 |
| 1275947053 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 11 Knight St, Unit F22 - F23, Warwick, RI 02886-1397 | 2014-06-19 |
| 1477740249 | Healthy Babies, Happy Moms Inc. | Durable Medical Equipment & Medical Supplies | 4512 Post Rd, East Greenwich, RI 02818-4124 | 2007-09-26 |
| Find all providers with the same taxonomy | ||||
| City | PROVIDENCE |
| Zip Code | 02909 |
Please comment or provide details below to improve the information on CUSTOM SPECIALTY PRODUCTS, LTD..
| 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.