CUSTOMIZED MEDICAL NEEDS
NPI 1124361688
Substance Abuse Rehabilitation Facility in Memphis, TN
NPI Status: Active since April 03, 2013
Contact Information
578 HARRELL ST
MEMPHIS, TN
ZIP 38112
Phone: (901) 907-0640
Fax: (901) 255-0758
- Organization
- Substance Abuse Rehabilitation Facility
About CUSTOMIZED MEDICAL NEEDS
This page provides the complete NPI Profile along with additional information for Customized Medical Needs, a provider established in Memphis, Tennessee operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1124361688 assigned on April 2013. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated one year ago. Customized Medical Needs operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mrs. Christi Alexander Davidson (Executive Director)
- NPI
- 1124361688
- Provider Name
- CUSTOMIZED MEDICAL NEEDS
- Entity Type
- Organization
- Location Address
- 578 HARRELL ST MEMPHIS, TN 38112
- Location Phone
- (901) 907-0640
- Location Fax
- (901) 255-0758
- Mailing Address
- 578 HARRELL ST MEMPHIS, TN 38112
- Mailing Phone
- (901) 907-0640
- Mailing Fax
- (901) 255-0758
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-03-2013
- Last Update Date
- 09-29-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | 305 (TN) |
| 2 | 104100000X | Behavioral Health & Social Service Providers | Social Worker | |
| 3 | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | |
| 4 | 163W00000X | Nursing Service Providers | Registered Nurse | |
| 5 | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | |
| 6 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | |
| 7 | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant | |
| 8 | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | |
| 9 | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | |
| 10 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | |
| 11 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | |
| 12 | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1531379 | MEDICAID (05) | TN | |
| 103G700897 | OTHER (01) | TN | MEDICARE (PTAN) |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1124361688, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
MEMPHIS, TN 38112
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124361688, enumerated as an "organization" on April 03, 2013.
The provider is located at 578 HARRELL ST MEMPHIS, TN 38112 and the phone number is (901) 907-0640.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
