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Custom Healthcare, Llc
Prosthetic/Orthotic Supplier in Cleveland, Tennessee
NPI 1952451296

Custom Healthcare, Llc is a Prosthetic/Orthotic Supplier based in Chattanooga, TN. Custom Healthcare, Llc practices in Cleveland, TN. The NPI Number for Custom Healthcare, Llc is 1952451296 and holds a License No. (Tennessee).

The current practice location address for Custom Healthcare, Llc is 2150 N Ocoee St Ste C, Cleveland, TN and can be reached out via phone at 423-559-0013 and via fax at 423-559-2442.

Location: 2150 N Ocoee St Ste C, Cleveland, TN, 37411-3603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952451296
Provider Name
Custom Healthcare, Llc
Credential
Provider Entity Type
Organization
Address
2150 N Ocoee St Ste C, Cleveland, TN, 37411-3603
Phone Number
423-559-0013
Fax Number
423-559-2442
Provider Enumeration Date
01/11/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1507472 05 TN
000973794C 05 GA
institution
Provider Business Practice Location Address Details
Address
2150 N Ocoee St Ste C
City
Cleveland
State
Tennessee
Zip
37311-3936
Phone Number
423-559-0013
Fax Number
423-559-2442
person
Provider Business Mailing Address Details
Address
2150 N Ocoee St Ste C
City
Cleveland
State
Tennessee
Zip
37311-3936
Phone Number
423-559-0013
Fax Number
423-559-2442
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.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
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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