CUSTOMCARE CBC, LLC
NPI 1356139612
Community/Behavioral Health in Saint Paul, MN

Q: What is Customcare Cbc, LLC's NPI number?

The NPI number for Customcare Cbc, LLC is 1356139612. It was assigned to this organization in the NPPES registry on April 28, 2025. The provider is doing business as Amivie.

Q: What is Customcare Cbc, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since April 28, 2025

2233 UNIVERSITY AVE W, SUITE 225, SAINT PAUL, MN 55114(651) 377-1122(888) 688-3674 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Customcare Cbc, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CUSTOMCARE CBC, LLC (NPI 1356139612), doing business as Amivie, is a healthcare organization registered as a community/behavioral health in Saint Paul, Minnesota and active in the NPI registry since April 2025. The organization maintains 2 additional practice locations and lists Kenneth Duarte, Cfo, as its authorized official.

NPPES Registry Identity

NPI1356139612

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameCUSTOMCARE CBC, LLC

Location Address2233 UNIVERSITY AVE W, SUITE 225Saint Paul, MN 55114-1696

Mailing Address4000 Paramount Pkwy Ste 100Morrisville, NC 27560-4702 · (919) 390-2980 · Fax (919) 390-1888

Phone(651) 377-1122

Fax(888) 688-3674

Organization SubpartYes

Authorized OfficialKenneth DuarteCfo · (336) 553-5912

Enumeration DateApril 28, 2025

Last NPPES UpdateOctober 23, 2025

NPPES CertifiedOctober 23, 2025

✔ NPI 1356139612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

2233 UNIVERSITY AVE W, Saint Paul, MN 55114

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Other Names 1

Doing Business AsAmivie

Secondary Practice Locations 2

Location 17801 E Bush Lake Rd Ste 100Minneapolis, MN 55439-3111 · Phone (952) 914-0269 · Fax (952) 960-0239

Location 21540 Humboldt Ave Ste 100West Saint Paul, MN 55118-3417 · Phone (651) 352-9910 · Fax (651) 305-1150

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUMAYA ALI FARAH

Psychologist (Clinical Child & Adolescent)