# CUSTOM CARE HEALTHCARE, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Custom Care Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861744617
- **Authorized official:** AMBER L TUELLER (SECRETARY)
- **Authorized official phone:** (208) 207-2726

## Contact information

- **Practice address:** 4811 MERLOT AVE UNIT 110, GRAPEVINE, TX 76051-7389
- **Practice address phone:** (972) 242-5959
- **Practice address fax:** (972) 242-5954
- **Mailing address:** 4811 MERLOT AVE UNIT 110, GRAPEVINE, TX 76051-7389
- **Mailing address phone:** (972) 242-5959
- **Mailing address fax:** (972) 242-5954

## Taxonomy

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

## Other

- **Enumeration date:** 10/03/2012
- **Last updated:** 12/19/2025