1. Home
  2. Directory
  3. Georgia
  4. Woodbury
  5. Durable Medical Equipment Medical Supplies
  6. NPI Profile

PHOENIX REHAB & MOBILITY
NPI 1366900391
Durable Medical Equipment & Medical Supplies - Customized Equipment in Woodbury, GA

Active since March 08, 2019
410 DROMEDARY ST, WOODBURY, GA 30293(770) 450-4227 Get Directions Write a Review

NPPES record last updated: March 8, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phoenix Rehab & Mobility NPPES

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

PHOENIX REHAB & MOBILITY (NPI 1366900391) is a healthcare organization registered as a customized equipment in Woodbury, Georgia and active in the NPI registry since March 2019. The organization lists James Rogers, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366900391
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameCUSTOM HEALTHCARE, LLC
Location Address410 DROMEDARY STWoodbury, GA 30293-3560
Mailing Address3700 Brainerd RdChattanooga, TN 37411-3603 · (423) 697-0057
Phone(770) 450-4227
Organization SubpartNo
Authorized OfficialJames RogersCeo · (423) 697-0057
Enumeration DateMarch 8, 2019
✔ NPI 1366900391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
410 DROMEDARY ST, Woodbury, GA 30293
Open in Google Maps ↗

Other Names 1

Doing Business AsPhoenix Rehab & Mobility

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 Custom Healthcare, LLC's NPI number?

The NPI number for Custom Healthcare, LLC is 1366900391. It was assigned to this organization in the NPPES registry on March 8, 2019. The provider is doing business as Phoenix Rehab & Mobility.

Where is Custom Healthcare, LLC located?

Custom Healthcare, LLC is located at 410 Dromedary St, Woodbury, GA 30293. The listed phone number is (770) 450-4227.

What is Custom Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

When was this NPI record last updated?

The NPPES record for Custom Healthcare, LLC was last updated on March 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.