Individual ProviderJoshua CusterCommunity Health WorkerOther Service ProvidersPractice Address934 S Main St, Layton, UT 84041-7135(801) 336-1845PECOS EnrollmentBased on the most recent information from CMS, provider Joshua Custer does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:51 AM.Profile DetailsProvider ID1043043987Provider TypeIndividualFull NameCuster, JoshuaGenderMaleSole ProprietorYesEnumeration Date8/26/2024Last Updated7/31/2025Contact InformationPractice LocationPractice Address934 S Main St, Layton, UT 84041-7135Phone(801) 336-1845FaxUnlisted FaxMailing LocationMailing Address934 S Main St, Layton, UT 84041-7135PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode172V00000XPrimaryDescriptionCommunity Health WorkerOther Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID260022408DescriptionOtherIssuerRAILROAD MEDICAREUtahID000055266DescriptionOtherIssuerMEDICARE PINUtahID8760003008007DescriptionMedicaidIssuerUnlistedUtah