# CUSTOMCARE CBC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Amivie
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740076215
- **Authorized official:** KENNETH DUARTE (CFO)
- **Authorized official phone:** (336) 553-5912

## Contact information

- **Practice address:** 2233 UNIVERSITY AVE W, SUITE 225, ST. PAUL, MN 55114-1696
- **Practice address phone:** (651) 377-1122
- **Practice address fax:** (888) 688-3674
- **Mailing address:** 4000 PARAMOUNT PKWY STE 100, MORRISVILLE, NC 27560-4702
- **Mailing address phone:** (919) 390-2980
- **Mailing address fax:** (919) 390-1888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/19/2025
- **Last updated:** 10/23/2025