Organization
CUSTOM HEALTHCARE, LLC
Active
Other names
PPS Orthotic & Prosthetic Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES C ROGERS II (CEO)
(423) 697-0057
Entity
Organization
Contact information
Practice address
3700 BRAINERD RD STE 134, CHATTANOOGA, TN 37411-3603
(423) 697-0057
(423) 648-9366
Mailing address
3700 BRAINERD RD, CHATTANOOGA, TN 37411-3603
(423) 697-0057
(423) 648-9366
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1036
TN
332BC3200X
Customized Equipment (DME)
1036
TN
332BX2000X
Oxygen Equipment & Supplies (DME)
3347
TN
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000973794C
—
GA
05
—
003113634A
—
GA
05
—
003199235A
—
GA
05
—
05130009
—
MS
05
—
1455062
—
TN
05
—
7100162230
—
KY
Enumeration date
05/12/2006
Last updated
04/12/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us