Johnson Custom Services, LLC
Johnson Custom Services, LLC is a healthcare organization registered as In Home Supportive Care Agency in Blaine, MN, holding Type 2 (organization) NPI 1689400954 since 2024. The authorized official on file is Corey Johnson, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1689400954 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Johnson Custom Services, LLC |
| Practice address | 1400 131ST AVE NE, Blaine, MN, 55449 |
| Phone | 7634127519 |
| Enumeration date | 2024-09-12 |
| Last updated in NPPES | 2024-09-12 |
Authorized official
| Name | Corey Johnson |
|---|---|
| Title | Owner |
| Phone | 7634127519 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care Agency | Primary | — | — |
Copy-ready billing details
Provider: Johnson Custom Services, LLC NPI: 1689400954 Taxonomy: 253Z00000X (In Home Supportive Care Agency) Address: 1400 131ST AVE NE, Blaine, MN, 55449
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1184867319 | Pain and Brain Healing Center, LLC | Organization | Clinic/Center | Blaine, MN |
Verify this record
Cross-check NPI 1689400954 against the authoritative CMS record: view Johnson Custom Services, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Johnson Custom Services, LLC?
Who is the authorized official for Johnson Custom Services, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-09-12.