CUSTOMCARE CBC, LLC
NPI 1740076215
In Home Supportive Care in St. Paul, MN

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

The NPI number for Customcare Cbc, LLC is 1740076215. It was assigned to this organization in the NPPES registry on April 19, 2025. The provider is doing business as Amivie.

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

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Active since April 19, 2025

2233 UNIVERSITY AVE W, SUITE 225, ST. 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 1740076215), doing business as Amivie, is a healthcare organization registered as an in home supportive care in St. 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

NPI1740076215

Entity TypeOrganization

Primary Taxonomy253Z00000X

Legal Business NameCUSTOMCARE CBC, LLC

Location Address2233 UNIVERSITY AVE W, SUITE 225St. 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 SubpartNo

Authorized OfficialKenneth DuarteCfo · (336) 553-5912

Enumeration DateApril 19, 2025

Last NPPES UpdateOctober 23, 2025

NPPES CertifiedOctober 23, 2025

✔ NPI 1740076215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies

Taxonomy Code253Z00000X

Definition

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

2233 UNIVERSITY AVE W, St. 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)

2233 UNIVERSITY AVE W
SAINT PAUL, MN 55114

Ramsey County (720) 519-9476

BETANYA FIDA

Behavior Technician

2233 UNIVERSITY AVE W
SAINT PAUL, MN 55114

Ramsey County (651) 502-2945

ZAKARIYA BAHAR ABDULAHI

Psychologist (Clinical Child & Adolescent)

2233 UNIVERSITY AVE W
SAINT PAUL, MN 55114

Ramsey County (651) 502-2945

PAIGE NOEL BOEDECKER

Behavior Technician

2233 UNIVERSITY AVE W
SAINT PAUL, MN 55114

Ramsey County (651) 502-2945

SAMIYA ADEM BCBA, PHARMD

Behavior Analyst

2233 UNIVERSITY AVE W
SAINT PAUL, MN 55114

Ramsey County (205) 199-4767

CUSTOMCARE CBC, LLC

Community/Behavioral Health

2233 UNIVERSITY AVE W, SUITE 225
SAINT PAUL, MN 55114

Ramsey County (651) 377-1122

MOHAMED-KHADAR ABDISALAM QAS

Behavior Technician

2233 UNIVERSITY AVE W
SAINT PAUL, MN 55114

Ramsey County (651) 502-2945

AKRAMA BEDEL

Behavior Technician

2233 UNIVERSITY AVE W
SAINT PAUL, MN 55114

Ramsey County (651) 502-2945

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Customcare Cbc, LLC's NPI number?

The NPI number for Customcare Cbc, LLC is 1740076215. It was assigned to this organization in the NPPES registry on April 19, 2025. The provider is doing business as Amivie.

Where is Customcare Cbc, LLC located?

Customcare Cbc, LLC is located at 2233 University Ave W Suite 225, St. Paul, MN 55114. The listed phone number is (651) 377-1122.

What is Customcare Cbc, LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Customcare Cbc, LLC was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.