Customcare
LBN: Customcare Cbc, Llc
Customcare is an health care organization with primary practice located at 7801 E Bush Lake Rd Ste 100 , Minneapolis MN 55439-3111. The organization recently has 3 registered licenses in different health care specialties including Agencies / Home Health, Nursing & Custodial Care Facilities / Custodial Care Facility, Respite Care Facility / Respite Care. Nursing & Custodial Care Facilities / Custodial Care Facility is the primary health care specialty.
Customcare Cbc, Llc can be contacted via phone (952) 914-0269, or through Duarte, Kenneth via phone (336) 553-5912.
Contact Information
Primary practice address
7801 E Bush Lake Rd Ste 100
Minneapolis MN 55439-3111
Phone: (952) 914-0269
Fax: (952) 960-0239
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Agencies / Home Health | 251E00000X | ||
Nursing & Custodial Care Facilities / Custodial Care Facility | 311Z00000X | ||
Respite Care Facility / Respite Care | 385H00000X |
Profile Details
NPI number | 1922185677 |
---|---|
LBN Legal business name | Customcare Cbc, Llc |
DBA Doing business as | Customcare |
Authorized official | Duarte, Kenneth |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Nov 1st, 2006 |
Last updated | Jun 4th, 2024 - about 6 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922185677 | NPPES |
Minnesota | MEDICAID | 081603500 | |
Minnesota | Other | 416174 | |
Minnesota | MEDICAID | 807970600 |
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