CUSTOM HEALTHCARE


Address: 6227 Lee Highway, Suite I, Chattanooga, TN 37421
Phone: 4238939335

CUSTOM HEALTHCARE (NPI# 1891868204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891868204
Entity Type Organization
Organization Name CUSTOM HEALTHCARE
Other Organization Name PPS INFUSION PHARMACY
Practice Address 6227 Lee Highway
Suite I
Chattanooga
TN 37421
Mailing Address 3700 Brainerd Rd
Chattanooga
TN 37411-3603
Practice Telephone 4238939335
Practice Fax Number 4238939336
Mailing Telephone 4236970057
Enumeration Date 2006-11-15
Last Update Date 2019-03-08
Authorized Official Name WANDA S KEY (PRESIDENT OF OPERATIONS)
Authorized Official Telephone 4236970057
Authorized Official Credential RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251F00000X Home Infusion 73387 TN Agencies

Other Provider Identifier

State Issuer Identifier Type Code
TN 1452932 05

Other Provider/Organization Names

Other Name Type Code
PPS Infusion Pharmacy Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations CUSTOM HEALTHCARE SOLUTIONS LLC 228 East 45th Street, 12th Fl, New York, Ny 10017
Colorado Business Entities Custom Healthcare Solutions LLC 228 East 45th Street, 12th Floor, New York, NY 10017
New York State Corporations CUSTOM HEALTHCARE SOLUTIONS MA LLC 228 East 45th Street, 12th Floor, New York, Ny 10017
Virginia Business Entities CUSTOM HEALTHCARE SYSTEMS INC. 4205 Eubank Road, Richmond, Virginia 23231
Virginia Business Entities Custom Healthcare Systems of Virginia LLC 5505 Robin Hood Rd Ste B, Norfolk, Virginia 23513-2423
Indiana Business Entities CUSTOM HEALTHCARE, LLC 3700 Brainerd Rd, Chattanooga, TN 37411

Office Location

Street Address 6227 LEE HIGHWAY
SUITE I
City CHATTANOOGA
State TN
Zip Code 37421

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558991588 Janera Pentiah Physician Assistant 1360 Mackey Branch Dr, Chattanooga, TN 37421 2020-01-17
1750921367 Stephan Ian Belasco Counselor 1360 Mackey Branch Dr., Chattanooga, TN 37421 2020-01-11
1932745817 Sound Living Inc Community/Behavioral Health 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 2019-11-26
1245875046 Chattanooga Compounding Pharmacy Inc. Pharmacy 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 2019-11-15
1083105803 Trauma and Addiction Recovery Center Counselor 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 2018-05-29
1497257448 Claude James Bowden Counselor 7372 Applegate Lane, Chattanooga, TN 37421 2018-03-06
1093213332 Preferred Primary Care Clinic/Center 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 2018-01-31
1124526777 Elizabeth Marie Wright Nurse Practitioner 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 2018-01-30
1477065712 Publix Tennessee LLC Durable Medical Equipment & Medical Supplies 7326 Mccutcheon Rd, Chattanooga, TN 37421 2017-10-26
1144746645 Mobility At Home LLC Contractor 6307 E Brainerd Rd, Chattanooga, TN 37421 2017-08-16
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Taxonomy Information

Taxonomy Code 251F00000X
Grouping Agencies
Classification Home Infusion

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1316545494 Option Care Infusion Services, LLC Home Infusion 624 Grassmere Park Ste 22, Nashville, TN 37211-3671 2020-10-12
1700493087 Infusion Partners, LLC Home Infusion 1680 Century Center Pkwy Ste 9, Memphis, TN 38134-8827 2020-09-30
1033726872 Knoxville Home Therapies LLC Home Infusion 3201 Henson Rd Ste 101, Knoxville, TN 37921-5346 2020-09-25
1194348300 Picc Infusion Care Company LLC Home Infusion 5 Park Ln, Hendersonville, TN 37075-9682 2020-05-21
1538524392 Care Angles Home Health Care Home Infusion 676 Holland Ridge Dr, La Vergne, TN 37086-4266 2015-12-22
1740606847 Clark Builders Home Infusion 860 Bear Creek Rd, Pinson, TN 38366-1955 2014-03-13
1477864031 P3 Compounding, LLC Home Infusion 8848 Cedar Springs Ln, Suite 100, Knoxville, TN 37923-5415 2010-06-29
1811030331 Caremax Pharmacy of Loudon, Inc Home Infusion 413 S Gay St Ste 203, Knoxville, TN 37902-1104 2007-02-14
1366432122 Jackson-madison County General Hospital Home Infusion 1061 West Forest Avenue, Jackson, TN 38301-3879 2005-10-24
1023004363 Blount Memorial Hospital, Inc. Home Infusion 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 2005-09-22
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Competitor

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City CHATTANOOGA
Zip Code 37421

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Dataset Information

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.

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