Pps Orthotic & Prosthetic Services
LBN: Custom Healthcare, Llc
Pps Orthotic & Prosthetic Services is an health care organization with primary practice located at 2150 N Ocoee St Ste C , Cleveland TN 37311-3936. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty.
Custom Healthcare, Llc can be contacted via phone (423) 559-0013, or through Rogers, James C via phone (423) 697-0057.
Contact Information
Primary practice address
2150 N Ocoee St Ste C
Cleveland TN 37311-3936
Phone: (423) 559-0013
Fax: (423) 559-2442
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Customized Equipment | 332BC3200X | ||
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X |
Profile Details
| NPI number | 1952451296 |
|---|---|
| LBN Legal business name | Custom Healthcare, Llc |
| DBA Doing business as | Pps Orthotic & Prosthetic Services |
| Authorized official | Rogers, James C |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Aug 22nd, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952451296 | NPPES |
| Tennessee | MEDICAID | 1507472 | |
| Tennessee | MEDICAID | 000973794C |
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