Provider Demographics
NPI:1235427477
Name:CUSTOM HEALTHCARE SOLUTIONS
Entity Type:Organization
Organization Name:CUSTOM HEALTHCARE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MENSINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:121-818-0300
Mailing Address - Street 1:228 EAST 45TH STREET
Mailing Address - Street 2:12TH FLOOR
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10017
Mailing Address - Country:US
Mailing Address - Phone:212-818-0300
Mailing Address - Fax:
Practice Address - Street 1:228 EAST 45TH STREET
Practice Address - Street 2:12TH FLOOR
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10017
Practice Address - Country:US
Practice Address - Phone:212-818-0300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-20
Last Update Date:2011-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care