Customcare CBC, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

349413 Issued in MN

Legal business name

CUSTOMCARE CBC, LLC

Doing business as

Amivie
CustomCARE

Practice address

7801 E Bush Lake Rd Ste 100
Minneapolis, MN 55439-3111

Phone

(952) 914-0269

Fax

(952) 960-0239

NPI assigned

Mar 11, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kenneth Duarte

Title

Cfo

Phone

(336) 553-5912

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 2

• Amivie Doing business as
• CustomCARE Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1841460383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 E BUSH LAKE RD STE 100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554393111",
            "telephone_number": "952-914-0269",
            "fax_number": "952-960-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 E BUSH LAKE RD STE 100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554393111",
            "telephone_number": "952-914-0269",
            "fax_number": "952-960-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOMCARE CBC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "DUARTE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "336-553-5912"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "807970600",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "349413",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841460383",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDH- TEMPORARY COMPREHENSIVE HOME CARE LICENSE",
            "identifier": "416174",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amivie",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CustomCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannah Jane Cushen, MD
• Laurel A Cushing, M.D.
• Camille Carla Cushnie, LGSW
• Rahma Axmed Cusman
• Custom Care Orthotics, Inc
• Customcare CBC, LLC
• Cole Cuthbert, MD, MTM
• Chad A Cutshall, M.D.
• Diana B Cutts, MD
• Erin Cutts, PA-C

• Home Health Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.