Organization
CUSTOMCARE CBC, LLC
Active
Other names
Amivie, CustomCARE
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH DUARTE (CFO)
(336) 553-5912
Entity
Organization
Contact information
Practice address
7801 E BUSH LAKE RD STE 100, MINNEAPOLIS, MN 55439-3111
(952) 914-0269
(952) 960-0239
Mailing address
7801 E BUSH LAKE RD STE 100, MINNEAPOLIS, MN 55439-3111
(952) 914-0269
(952) 960-0239
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
349413
MN
251E00000X
Home Health Agency
807970600
MN
251J00000X
Nursing Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841460383
—
MN
01
—
416174
MDH- TEMPORARY COMPREHENSIVE HOME CARE LICENSE
MN
Enumeration date
03/11/2008
Last updated
09/17/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us