# CUSTER CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275827412
- **Authorized official:** TIFFANY ALICE GLIDDEN (ADMINISTRATOR)
- **Authorized official phone:** (308) 872-6303

## Contact information

- **Practice address:** 1020 50 2ND AVE, BROKEN BOW., NE 68822-1422
- **Practice address phone:** (308) 872-6303
- **Practice address fax:** (308) 872-2677
- **Mailing address:** 1020 50 2ND AVE, BROKEN BOW., NE 68822-1422
- **Mailing address phone:** (308) 872-6303
- **Mailing address fax:** (308) 872-2677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 251X00000X | Supports Brokerage Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 261QA0600X | Adult Day Care Clinic/Center | — | NULL | — |
| 310400000X | Assisted Living Facility | ALF322 | NE | Yes |

## Other

- **Enumeration date:** 06/06/2011
- **Last updated:** 12/12/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025661500 | — | NE |