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Custom Healthcare, Llc
Prosthetic/Orthotic Supplier in Chattanooga, Tennessee
NPI 1275583783

Custom Healthcare, Llc is a Prosthetic/Orthotic Supplier based in Chattanooga, TN. Custom Healthcare, Llc practices in Chattanooga, TN. The NPI Number for Custom Healthcare, Llc is 1275583783 and holds a License No. 1036 (Tennessee).

The current practice location address for Custom Healthcare, Llc is 3700 Brainerd Rd Ste 134, Chattanooga, TN and can be reached out via phone at 423-697-0057 and via fax at 423-648-9366.

Location: 3700 Brainerd Rd Ste 134, Chattanooga, TN, 37411-3603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275583783
Provider Name
Custom Healthcare, Llc
Credential
Provider Entity Type
Organization
Address
3700 Brainerd Rd Ste 134, Chattanooga, TN, 37411-3603
Phone Number
423-697-0057
Fax Number
423-648-9366
Provider Enumeration Date
05/12/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
003113634A 05 GA
003199235A 05 GA
1455062 05 TN
05130009 05 MS
7100162230 05 KY
000973794C 05 GA
institution
Provider Business Practice Location Address Details
Address
3700 Brainerd Rd Ste 134
City
Chattanooga
State
Tennessee
Zip
37411-3603
Phone Number
423-697-0057
Fax Number
423-648-9366
person
Provider Business Mailing Address Details
Address
3700 Brainerd Rd Ste 134
City
Chattanooga
State
Tennessee
Zip
37411-3603
Phone Number
423-697-0057
Fax Number
423-648-9366
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
3347 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
332BX2000X
License No.
1036 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
1036 (Tennessee)
Definition
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.
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