# CUSTOM CARE HEALTHCARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Frontier Home Health, Custom Care Home Health - Ft. Worth
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073107017
- **Authorized official:** AMBER L TUELLER (SECRETARY)
- **Authorized official phone:** (208) 207-2726

## Contact information

- **Practice address:** 6410 SOUTHWEST BLVD STE 127, BENBROOK, TX 76109-6918
- **Practice address phone:** (817) 847-8888
- **Mailing address:** 6410 SOUTHWEST BLVD STE 127, BENBROOK, TX 76109-6918
- **Mailing address phone:** (817) 847-8888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/20/2021
- **Last updated:** 03/16/2026