CUSTOM CARE ORTHOTICS AND PROSTHETICS, INC. — NPI 1881698678 (Licensed & Credentialed Suppliers — Prosthetic

CMS-1500 Box 24J / 33a • NPI

1881698678

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

335E00000X (CMS 51)

Licensed & Credentialed Suppliers — Prosthetic — Orthotic Supplier

Box 32 Service Location & ZIP+4

1125 HEBRON RD, HEATH, OH, 43056-1158

✓ 9-Digit EDI 837 ZIP+4 (43056-1158)

Practice Phone & Referral Fax

(740) 344-4925

Fax: (740) 344-4926

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1881698678 (CUSTOM CARE ORTHOTICS AND PROSTHETICS, INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1881698678` (NPI-2 Organization / Facility)
Provider / Legal Name	CUSTOM CARE ORTHOTICS AND PROSTHETICS, INC.
Plain-English Specialty	Licensed & Credentialed Suppliers — Prosthetic — Orthotic Supplier NUCC Code: `335E00000X` (Prosthetic/Orthotic Supplier)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1125 HEBRON RD, HEATH, OH, 43056-1158
Practice Telephone / Fax	Tel: (740) 344-4925 \| Fax: (740) 344-4926
Administrative Mailing Address	1125 HEBRON RD, HEATH, OH, 43056-1158
Enumeration & Last Sync	Enumerated: 2005-06-09 \| CMS Record Updated: 2018-01-29
Authorized Official	MICHAEL HOUSKA (owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1125 HEBRON RD, HEATH, OH, 43056-1158

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Plain-English Taxonomy & CMS Crosswalk (335E00000X)

What Does Taxonomy Code 335E00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 335E00000X translates to:
"Licensed & Credentialed Suppliers — Prosthetic — Orthotic Supplier"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 51 (Medical Supply Company with Orthotist) • CMS Code 52 (Medical Supply Company with Prosthetist) • CMS Code 53 (Medical Supply Company with Orthotist-Prosthetist)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Prosthetic/Orthotic Supplier for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CUSTOM CARE ORTHOTICS AND PROSTHETICS, INC.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`332B00000X` — Durable Medical Equipment & Medical Supplies Plain English: Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies	State: OH \| License: `Verified` \| Primary: Secondary
`335E00000X` — Prosthetic/Orthotic Supplier Plain English: Licensed & Credentialed Suppliers — Prosthetic — Orthotic Supplier	State: OH \| License: `LP-146` \| Primary: Secondary
`335E00000X` — Prosthetic/Orthotic Supplier Plain English: Licensed & Credentialed Suppliers — Prosthetic — Orthotic Supplier	State: OH \| License: `LO-0107` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CUSTOM CARE ORTHOTICS AND PROSTHETICS, INC. (NPI #1881698678)