Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Customcare Cbc, LLC

Organization Community/Behavioral Health Agency · NPI 1356139612

Customcare Cbc, LLC is a Community/Behavioral Health Agency in Saint Paul, Minnesota. Works from 3 locations. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2233 University Ave W Ste 225
Saint Paul, MN 55114-1696
Phone: (651) 377-1122
Fax: (888) 688-3674
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 7801 E Bush Lake Rd Ste 100, Minneapolis, MN 55439-3111 — (952) 914-0269
  • 1540 Humboldt Ave Ste 100, West Saint Paul, MN 55118-3417 — (651) 352-9910

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1356139612
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCustomcare Cbc, LLC
Authorized official Kenneth Duarte — Cfo · (336) 553-5912
Other names Amivie
NPI enumeratedApril 28, 2025
Last updated in NPPESOctober 23, 2025
Certification dateOctober 23, 2025
Mailing address4000 Paramount Pkwy Ste 100, Morrisville, NC 27560-4702

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