CUSTOMIZED MEDICAL NEEDS
NPI 1124361688
Substance Abuse Rehabilitation Facility in Memphis, TN
- 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 Verify this NPI
- 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) |
Reviews for CUSTOMIZED MEDICAL NEEDS
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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.
