Custom Healthcare in Chattanooga - Home Infusion
Custom Healthcare - NPI 1891868204
Custom Healthcare is a Home Infusion in Chattanooga, Tennessee. Custom Healthcare practices all healthcare services and medical treatments related to Home Infusion. The NPI Number for Custom Healthcare is 1891868204. The last update date is 2019-03-08.
Custom Healthcare's current location address is 6227 Lee Highway, Chattanooga, Tennessee. You can contact this provider via phone number 4238939335 and fax number 4238939336. The mailing address for Custom Healthcare is 6227 Lee Highway, Chattanooga, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Custom Healthcare |
|---|---|
| Address | 6227 Lee Highway, Chattanooga, Tennessee |
| Phone Number | 4238939335 |
| Fax Number | 4238939336 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Key S Wanda |
| Credentials | RN |
| Telephone Number | 4236970057 |
NPI Number Detail
| NPI Number | 1891868204 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2019-03-08 |
Provider Mailing Address Detail
| Address | 6227 Lee Highway |
|---|---|
| City | Chattanooga |
| State | Tennessee (TN) |
| Post Code | 37421 |
| Phone Number | 4238939335 |
| Fax Number | 4238939336 |
Provider's Primary Taxonomy Detail
| Speciality | Home Infusion |
|---|---|
| Taxonomy | 251F00000X |
| Licence No | 73387 |
|
Definition: Provides fluids, nutrition, medication and related infusion services to patients in their homes. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1452932 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Custom Healthcare by the Centers for Medicare & Medicaid Services?
The Custom Healthcare has been assigned the NPI (National Provider Identifier) 1891868204 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Custom Healthcare?
The Custom Healthcare is situated at 6227 Lee Highway, in the city of Chattanooga, state of TN, with the zip code 37421.
What is Custom Healthcare's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Custom Healthcare is Home Infusion, and the corresponding taxonomy classification code for this specialized field is 251F00000X.
On what date did the Custom Healthcare receive the assignment of its 1891868204 from the Centers for Medicare & Medicaid Services?
The Custom Healthcare was issued its 1891868204 by the Centers for Medicare & Medicaid Services on 2006-11-15.
As of what date were the details pertaining to Custom Healthcare last refreshed?
The information related to the Custom Healthcare, including its address, specialty, and other relevant details, was last updated on 2019-03-08.