CUSTOM HEALTHCARE, LLC (NPI# 1730481383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730481383 |
| Entity Type | Organization |
| Organization Name | CUSTOM HEALTHCARE, LLC |
| Other Organization Name | PPS ORTHOTIC & PROSTHETIC SERVICES |
| Practice Address |
2400 E Andrew Johnson Hwy Greeneville TN 37745-0948 |
| Mailing Address |
3700 Brainerd Rd Chattanooga TN 37411-3603 |
| Practice Telephone | 4235255073 |
| Practice Fax Number | 4235255349 |
| Mailing Telephone | 4236970057 |
| Mailing Fax Number | 4236489366 |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |
| Authorized Official Name | MR. JAMES C ROGERS (CEO) |
| Authorized Official Telephone | 4236970057 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| PPS Orthotic & Prosthetic Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588122394 | Custom Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1101 Old Creek Rd Ste A1, Athens, GA 30607-1090 | 2019-03-11 |
| 1366900391 | Custom Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 410 Dromedary St, Woodbury, GA 30293-3560 | 2019-03-08 |
| 1326511643 | Custom Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 110 Palmetto Pkwy, Belton, SC 29627-2126 | 2019-01-09 |
| 1285109645 | Custom Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 48 Morrison Ln, Ringgold, GA 30736-7277 | 2018-10-11 |
| 1083195663 | Custom Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 902 12th St Ste B, Phenix City, AL 36867-5827 | 2018-08-22 |
| 1538437215 | Custom Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 201 Center Park Dr Ste 1000, Knoxville, TN 37922-2105 | 2011-12-08 |
| 1770863532 | Custom Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 806 Ulrich Ave, Louisville, KY 40219-1846 | 2011-08-25 |
| 1952451296 | Custom Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2150 N Ocoee St Ste C, Cleveland, TN 37311-3936 | 2007-01-11 |
| 1093017642 | Custom Healthcare, LLC | Prosthetic/Orthotic Supplier | 1508 N Thornton Ave, Ste 104, Dalton, GA 30720-8516 | 2010-12-01 |
| 1275583783 | Custom Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3700 Brainerd Rd, Chattanooga, TN 37411-3603 | 2006-05-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | CUSTOM HEALTHCARE, LLC | 3700 Brainerd Rd, Chattanooga, TN 37411 |
| Street Address |
2400 E ANDREW JOHNSON HWY |
| City | GREENEVILLE |
| State | TN |
| Zip Code | 37745-0948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821282716 | David Scott Thomas | Orthotist | 2400 E Andrew Johnson Hwy, Greeneville, TN 37745-0948 | 2007-09-04 |
| 1073893202 | Linda S Estep | Orthotist | 2400 E Andrew Johnson Hwy, Greeneville, TN 37745-0948 | 2011-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619409489 | Watauga Recovery Center Greeneville | Family Medicine | 819 W Church Street, Greeneville, TN 37745 | 2017-03-31 |
| 1154862340 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 1404 East Church St, Greeneville, TN 37745 | 2017-03-20 |
| 1770024010 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 1406 East Church Street, Greeneville, TN 37745 | 2017-03-20 |
| 1336685569 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 1010 Old Stage Rd, Greeneville, TN 37745 | 2017-01-11 |
| 1750635298 | Matthew Brandon Allen | Pharmacist | 515 Van Hill Rd, Greeneville, TN 37745 | 2012-11-06 |
| 1083963466 | Addison Dimartino | Optometrist | 204 Emory Dr, Greeneville, TN 37745 | 2012-08-31 |
| 1639443419 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2499 Buckingham Rd., Greeneville, TN 37745 | 2012-02-27 |
| 1477786168 | Mcfarland Group Inc. | Durable Medical Equipment & Medical Supplies | 1413 Tusculum Blvd, Greeneville, TN 37745 | 2009-08-27 |
| 1043458128 | Greenville Dental Associates, Pllc | Dentist | 1308 Tusculum Blvd., Greeneville, TN 37745 | 2009-01-28 |
| 1275779555 | Professional Hearing Aid Ctr | Hearing Aid Equipment | 705 Professional Plaza, #3, Greenville, TN 37745 | 2008-12-17 |
| Find all providers in zip 37745 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | 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. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326452566 | Bristol Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 504 Justis Dr, Greeneville, TN 37745-4287 | 2014-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100990 | Porsche Vaughn | Prosthetic/Orthotic Supplier | 2203 Clarksville Pike, Nashville, TN 37208-1053 | 2020-09-24 |
| 1245845148 | Hopeful Strands LLC | Prosthetic/Orthotic Supplier | 5852 Sunny Morning Dr, Memphis, TN 38141 | 2020-09-09 |
| 1134737562 | Carefluent Connect, LLC | Prosthetic/Orthotic Supplier | 60 Athlete's Way N, Suite 300, Mt Juliet, TN 37122-4440 | 2020-07-22 |
| 1609484450 | Crowned By Court Rx | Prosthetic/Orthotic Supplier | 6339 Charlotte Pike # 928, Nashville, TN 37209-2926 | 2020-07-17 |
| 1558982868 | Kcb Medical Wigs | Prosthetic/Orthotic Supplier | 4246 Hillgate Cv, Memphis, TN 38118-6739 | 2020-04-28 |
| 1154955268 | A Step Ahead Orthotics and Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1415 Old Weisgarber Rd Ste 360, Knoxville, TN 37909-1327 | 2020-02-27 |
| 1942849914 | American Brace & Limb Enterprise, LLC | Prosthetic/Orthotic Supplier | 9333 Parkwest Blvd., 103, Knoxville, TN 37923 | 2019-12-23 |
| 1841834322 | Southern Orthocare, Inc | Prosthetic/Orthotic Supplier | 11440 Parkside Dr Ste 304, Knoxville, TN 37934-2662 | 2019-10-29 |
| 1366901779 | Vascular and Vein Institute of The South, Pllc | Prosthetic/Orthotic Supplier | 6029 Walnut Grove Rd Ste 109, Memphis, TN 38120-2112 | 2019-03-15 |
| 1043775745 | Restorative Health Services, Inc | Prosthetic/Orthotic Supplier | 103 N Willow Ave, Cookeville, TN 38501-2369 | 2019-02-06 |
| Find all providers with the same taxonomy | ||||
| City | GREENEVILLE |
| Zip Code | 37745 |
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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.