OrganizationActive
Customcare Cbc, LLC
NPI 1356139612 · Community/Behavioral Health Agency · Saint Paul, MN
Customcare Cbc, LLC is a Community/Behavioral Health Agency organization in Saint Paul, MN (NPI 1356139612).
Provider details
- NPI number
- 1356139612
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Parent organization
- Customcare Cbc, LLC
- Organization subpart
- Yes
- Authorized official
- Kenneth Duarte, Cfo(336) 553-5912
Specialties & taxonomies
Agencies
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2233 University Ave W
Suite 225
Saint Paul, MN 55114-1696
Phone: (651) 377-1122
Fax: (888) 688-3674
Street-level locationGet directions
Mailing address
4000 Paramount Pkwy Ste 100
Morrisville, NC 27560-4702
Other names (DBA / former)
- Doing business as
- Amivie
Additional practice locations (2)
- 7801 E Bush Lake Rd Ste 100Minneapolis, MN 55439-3111Phone: (952) 914-0269Fax: (952) 960-0239
- 1540 Humboldt Ave Ste 100West Saint Paul, MN 55118-3417Phone: (651) 352-9910Fax: (651) 305-1150
Registry dates
- Enumerated
- 2025-04-28
- Last updated
- 2025-10-23
- Certified
- 2025-10-23
Frequently asked questions
- What is Customcare Cbc, LLC's NPI number?
- Customcare Cbc, LLC's National Provider Identifier (NPI) is 1356139612, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Customcare Cbc, LLC?
- Customcare Cbc, LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Customcare Cbc, LLC located?
- Customcare Cbc, LLC's practice location on file with NPPES is 2233 University Ave W, Saint Paul, MN 55114-1696.
- What is Customcare Cbc, LLC's phone number?
- The practice phone number listed in the NPPES registry for Customcare Cbc, LLC is (651) 377-1122.
- Who is the authorized official for Customcare Cbc, LLC?
- The authorized official listed on Customcare Cbc, LLC's NPPES record is Kenneth Duarte, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Customcare Cbc, LLC's NPI active?
- Yes — Customcare Cbc, LLC's NPI (1356139612) is active in the NPPES registry as of the last update on 2025-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.