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CUSTOMCARE CBC, LLC
NPI 1922185677
Custodial Care Facility in Minneapolis, MN

Active since November 01, 2006
7801 E BUSH LAKE RD STE 100, MINNEAPOLIS, MN 55439(952) 914-0269(952) 960-0239 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 17, 2025, Jun 4, 2024, Dec 7, 2023 and 1 more (4 updates tracked since 2023).

About Customcare Cbc, Llc NPPES

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

CUSTOMCARE CBC, LLC (NPI 1922185677), doing business as Amivie, is a healthcare organization registered as a custodial care facility in Minneapolis, Minnesota and active in the NPI registry since November 2006. The organization maintains 2 additional practice locations and lists Kenneth Duarte, Cfo, as its authorized official.

NPPES Registry Identity

NPI1922185677
Entity TypeOrganization
Primary Taxonomy311Z00000X
Legal Business NameCUSTOMCARE CBC, LLC
Location Address7801 E BUSH LAKE RD STE 100Minneapolis, MN 55439-3111
Mailing Address7801 E Bush Lake Rd Ste 100Minneapolis, MN 55439-3111 · (952) 914-0269 · Fax (952) 960-0239
Phone(952) 914-0269
Fax(952) 960-0239
Organization SubpartNo
Authorized OfficialKenneth DuarteCfo · (336) 553-5912
Enumeration DateNovember 1, 2006
Last NPPES UpdateOctober 14, 20254 updates tracked since enumeration
NPPES CertifiedOctober 14, 2025
✔ NPI 1922185677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCustodial Care FacilityNursing & Custodial Care Facilities
Taxonomy Code311Z00000X
Definition
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
Also ListedHome HealthTaxonomy 251E00000X
Also ListedRespite CareTaxonomy 385H00000X
7801 E BUSH LAKE RD STE 100, Minneapolis, MN 55439
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Other Names 2

Doing Business AsAmivie
Doing Business AsCustomcare

Secondary Practice Locations 2

Location 11540 Humboldt Ave Ste 101West St Paul, MN 55118-3489 · Phone (651) 352-9910 · Fax (651) 305-1150
Location 22233 University Ave W Ste 225Saint Paul, MN 55114-1696 · Phone (651) 377-1122 · Fax (888) 688-3674

Other Identifiers 3

Medicaid081603500MN
Other416174MN · Mdh- Temporary Comprehensive Home Care License
Medicaid807970600MN

Other Providers at the Same Location NPPES

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

CUSTOMCARE CBC, LLC
Home Health
7801 E BUSH LAKE RD STE 100
MINNEAPOLIS, MN 55439
Hennepin County (952) 914-0269

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 1922185677. It was assigned to this organization in the NPPES registry on November 1, 2006. The provider is doing business as Amivie and CustomCARE.

Where is Customcare Cbc, LLC located?

Customcare Cbc, LLC is located at 7801 E Bush Lake Rd Ste 100, Minneapolis, MN 55439. The listed phone number is (952) 914-0269.

What is Customcare Cbc, LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility with taxonomy code 311Z00000X.

When was this NPI record last updated?

The NPPES record for Customcare Cbc, LLC was last updated on October 14, 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.