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Customcare Cbc, Llc
Nursing Care Agency in Minneapolis, Minnesota
NPI 1841460383

Customcare Cbc, Llc is a Nursing Care Agency based in Minneapolis, MN. Customcare Cbc, Llc practices in Minneapolis, MN. The NPI Number for Customcare Cbc, Llc is 1841460383 and holds a License No. 807970600 (Minnesota).

The current practice location address for Customcare Cbc, Llc is 7801 E Bush Lake Rd Ste 100, Minneapolis, MN and can be reached out via phone at 952-914-0269 and via fax at 952-960-0239.

Location: 7801 E Bush Lake Rd Ste 100, Minneapolis, MN, 55439-3111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841460383
Provider Name
Customcare Cbc, Llc
Credential
Provider Entity Type
Organization
Address
7801 E Bush Lake Rd Ste 100, Minneapolis, MN, 55439-3111
Phone Number
952-914-0269
Fax Number
952-960-0239
Provider Enumeration Date
03/11/2008
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1841460383 05 MN
416174 01 MN MDH- TEMPORARY COMPREHENSIVE HOME CARE LICENSE
institution
Provider Business Practice Location Address Details
Address
7801 E Bush Lake Rd Ste 100
City
Minneapolis
State
Minnesota
Zip
55439-3111
Phone Number
952-914-0269
Fax Number
952-960-0239
person
Provider Business Mailing Address Details
Address
7801 E Bush Lake Rd Ste 100
City
Minneapolis
State
Minnesota
Zip
55439-3111
Phone Number
952-914-0269
Fax Number
952-960-0239
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
349413 (Minnesota)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Nursing Care
Speciality
-
Taxonomy
251J00000X
License No.
807970600 (Minnesota)
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
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