1. Home
  2. Directory
  3. Michigan
  4. Oak Park
  5. Prosthetic Orthotic Supplier
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KUSTOM MADE LLC
NPI 1124776828
Prosthetic/Orthotic Supplier in Oak Park, MI

Active since March 13, 2022
21841 KENOSHA ST, OAK PARK, MI 48237(248) 890-9660 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 2, 2026, Dec 29, 2025, Mar 13, 2022 (3 updates tracked since 2022).

About Kustom Made Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KUSTOM MADE LLC (NPI 1124776828) is a healthcare organization registered as a prosthetic/orthotic supplier in Oak Park, Michigan and active in the NPI registry since March 2022. The organization lists Patrice Coates, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124776828
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameKUSTOM MADE LLC
Location Address21841 KENOSHA STOak Park, MI 48237-2651
Mailing Address21841 Kenosha StOak Park, MI 48237-2651 · (248) 890-9660
Phone(248) 890-9660
Organization SubpartNo
Authorized OfficialPatrice CoatesCeo · (248) 890-9660
Enumeration DateMarch 13, 2022
Last NPPES UpdateSeptember 2, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
✔ NPI 1124776828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
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.
Also ListedProsthetistTaxonomy 224P00000X
21841 KENOSHA ST, Oak Park, MI 48237
Open in Google Maps ↗

Other Identifiers 1

Other1962840124Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PERFECT TOUCH ADULT DAYCARE
Custodial Care Facility (Adult Care Home)
21841 KENOSHA ST
OAK PARK, MI 48237
Oakland County (248) 219-9782
SUPERIOR EYECARE OF MICHIGAN LLC/ PATRICE L COATES
Eyewear Supplier
21841 KENOSHA ST
OAK PARK, MI 48237
Oakland County (248) 228-7315
SIMPLY PERFECT RESIDENTIAL CARE LLC
Home Health Aide
21841 KENOSHA ST
OAK PARK, MI 48237
Oakland County (248) 890-9660
MS. PATRICE COATES
Prosthetic/Orthotic Supplier
21841 KENOSHA ST
OAK PARK, MI 48237
Oakland County (313) 218-2936
SUPERIOR EYECARE OF MICHIGAN LLC/ PATRICE L COATES
Optometrist
21841 KENOSHA ST
OAK PARK, MI 48237
Oakland County (248) 219-9782

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kustom Made LLC's NPI number?

The NPI number for Kustom Made LLC is 1124776828. It was assigned to this organization in the NPPES registry on March 13, 2022.

Where is Kustom Made LLC located?

Kustom Made LLC is located at 21841 Kenosha St, Oak Park, MI 48237. The listed phone number is (248) 890-9660.

What is Kustom Made LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Kustom Made LLC was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.