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

NPI Status: Active since November 01, 2006

Contact Information

7801 E BUSH LAKE RD STE 100
MINNEAPOLIS, MN
ZIP 55439
Phone: (952) 914-0269
Fax: (952) 960-0239

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  • Organization
  • Custodial Care Facility

About CUSTOMCARE CBC, LLC

This page provides the complete NPI Profile along with additional information for Customcare Cbc, Llc, a provider established in Minneapolis, Minnesota operating as a Custodial Care Facility. The healthcare provider is registered in the NPI registry with number 1922185677 assigned on November 2006. The practitioner's primary taxonomy code is 311Z00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Kenneth Duarte (Cfo)

NPI
1922185677
Provider Legal Name
CUSTOMCARE CBC, LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
7801 E BUSH LAKE RD STE 100 MINNEAPOLIS, MN 55439
Location Phone
(952) 914-0269
Location Fax
(952) 960-0239
Mailing Address
7801 E BUSH LAKE RD STE 100 MINNEAPOLIS, MN 55439
Mailing Phone
(952) 914-0269
Mailing Fax
(952) 960-0239
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-01-2006
Last Update Date
10-14-2025
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Location Map

Secondary Locations

  • 2233 University Ave W Ste 225
    Saint Paul, MN 55114
    (651) 377-1122
  • 1540 Humboldt Ave Ste 101
    West St Paul, MN 55118
    (651) 352-9910

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Custodial Care Facility

Taxonomy Code
311Z00000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251E00000XAgencies

Home Health

 
2385H00000XRespite Care Facility

Respite Care

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KENNETH DUARTE

Authorized Official Title
CFO
Authorized Official Phone
(336) 553-5912

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
081603500MEDICAID (05)MN 
416174OTHER (01)MNMDH- TEMPORARY COMPREHENSIVE HOME CARE LICENSE
807970600MEDICAID (05)MN 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1922185677, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
2
Doubled → 4
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
8
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 1 → 2 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 4 + 2 + 2 + 8 + 1 + 0 + 6 + 1 + 4 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1922185677.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Home Health
7801 E BUSH LAKE RD STE 100
MINNEAPOLIS, MN 55439

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922185677, enumerated as an "organization" on November 01, 2006.

The provider is located at 7801 E BUSH LAKE RD STE 100 MINNEAPOLIS, MN 55439 and the phone number is (952) 914-0269.

Custodial Care Facility with taxonomy code 311Z00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.