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Customcare Cbc, LLC

Custodial Care Facility in Minneapolis, MN · enumerated 2006 · authorized official Kenneth Duarte, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1922185677

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Registry record

Entity type Organization (Type 2)
Legal business name Customcare Cbc, LLC
Other name <Unavail>
Practice address 7801 E Bush Lake Rd Ste 100, Minneapolis, MN, 55439
Fax (952) 960-0239
Enumeration date Nov 1, 2006
Last updated in NPPES Oct 14, 2025

Taxonomy & classification

251E00000X Home Health Agency Agencies Secondary
311Z00000X Custodial Care Facility Nursing & Custodial Care Facilities Primary
385H00000X Respite Care Respite Care Facility Secondary

Authorized official

Name Kenneth Duarte
Title Cfo

Other identifiers

Identifier Type State Issuer
081603500 Medicaid MN
416174 Other MN MDH- TEMPORARY COMPREHENSIVE HOME CARE LICENSE
807970600 Medicaid MN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-10-14. Verify at npiregistry.cms.hhs.gov.
Where is Customcare Cbc, LLC located?
The practice location on file with NPPES is in Minneapolis, MN.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-14.