Provider Demographics
NPI:1902788623
Name:CUSTER CARE
Entity type:Organization
Organization Name:CUSTER CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JEANETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:DENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-872-6303
Mailing Address - Street 1:1020 S 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:BROKEN BOW
Mailing Address - State:NE
Mailing Address - Zip Code:68822-3037
Mailing Address - Country:US
Mailing Address - Phone:308-872-6303
Mailing Address - Fax:302-872-2677
Practice Address - Street 1:1020 S 2ND AVE
Practice Address - Street 2:
Practice Address - City:BROKEN BOW
Practice Address - State:NE
Practice Address - Zip Code:68822-3037
Practice Address - Country:US
Practice Address - Phone:308-872-6303
Practice Address - Fax:302-872-2677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care