Customcare

LBN: Customcare Cbc, Llc
Customcare is an health care organization with primary practice located at 7801 E Bush Lake Rd Ste 100 , Minneapolis MN 55439-3111. The organization recently has 3 registered licenses in different health care specialties including Agencies / Home Health, Nursing & Custodial Care Facilities / Custodial Care Facility, Respite Care Facility / Respite Care. Nursing & Custodial Care Facilities / Custodial Care Facility is the primary health care specialty. Customcare Cbc, Llc can be contacted via phone (952) 914-0269, or through Duarte, Kenneth via phone (336) 553-5912.

Contact Information

Primary practice address
7801 E Bush Lake Rd Ste 100 Minneapolis MN 55439-3111
Phone: (952) 914-0269
Fax: (952) 960-0239
Website:
Map and Directions
Authorized official contact:
Name: Duarte, Kenneth
Phone: (336) 553-5912

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Nursing & Custodial Care Facilities / Custodial Care Facility 311Z00000X
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1922185677
LBN Legal business name Customcare Cbc, Llc
DBA Doing business as Customcare
Authorized official Duarte, Kenneth
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Jun 4th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922185677 NPPES
Minnesota MEDICAID 081603500
Minnesota Other 416174
Minnesota MEDICAID 807970600

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