Customcare Cbc, LLC

Provider details

NPI number

1922185677

Entity type

Organization

Primary specialty

Custodial Care FacilityNursing & Custodial Care Facilities

Organization subpart

No

Authorized official

Kenneth Duarte, Cfo(336) 553-5912

Specialties & taxonomies

• Custodial Care FacilityPrimary311Z00000X

  Nursing & Custodial Care Facilities

• Home Health Agency251E00000X

  Agencies

• Respite Care385H00000X

  Respite Care Facility

Other names (DBA / former)

Doing business as

Amivie

Doing business as

Customcare

Additional practice locations (2)

• 2233 University Ave W Ste 225

  Saint Paul, MN 55114-1696

  Phone: (651) 377-1122

  Fax: (888) 688-3674
• 1540 Humboldt Ave Ste 101

  West St Paul, MN 55118-3489

  Phone: (651) 352-9910

  Fax: (651) 305-1150

Frequently asked questions

What is Customcare Cbc, LLC's NPI number?

Customcare Cbc, LLC's National Provider Identifier (NPI) is 1922185677, 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 Custodial Care Facility (Nursing & Custodial Care Facilities).

Where is Customcare Cbc, LLC located?

Customcare Cbc, LLC's practice location on file with NPPES is 7801 E Bush Lake Rd Ste 100, Minneapolis, MN 55439-3111.

What is Customcare Cbc, LLC's phone number?

The practice phone number listed in the NPPES registry for Customcare Cbc, LLC is (952) 914-0269.

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 (1922185677) is active in the NPPES registry as of the last update on 2025-10-14.