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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.