HOME CARE OF NORTH DAKOTA LLC (NPI# 1124640339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124640339 |
| Entity Type | Organization |
| Organization Name | HOME CARE OF NORTH DAKOTA LLC |
| Practice Address |
2524 S Washington St Ste 5 Grand Forks ND 58201-6764 |
| Practice Telephone | 7017574044 |
| Mailing Telephone | 7017574044 |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-05-11 |
| Authorized Official Name | MELISSA JOHNSON (VICE PRESIDENT HOME CARE SERVICES) |
| Authorized Official Telephone | 7017574044 |
| Is Organization Subpart | Y |
| Parent Organization Name | EDGEWOOD OPCO LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 1476888 | 05 |
| Other Name | Type Code |
|---|---|
| Home Care Companions | Doing Business As Name - Organization |
| Street Address |
2524 S WASHINGTON ST STE 5 |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201-6764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965398 | Development Homes Inc | Intermediate Care Facility, Mentally Retarded | 5509 Cottonwood Street, Grand Forks, ND 58201 | 2020-02-27 |
| 1932753779 | Lydia Pansegrau | Occupational Therapist | 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 | 2019-07-30 |
| 1407416019 | Kristina Aikens | Optometrist | 1820 S 42nd St, Grand Forks, ND 58201 | 2019-06-17 |
| 1861963209 | Jessica Kovsky | Occupational Therapist | 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 | 2018-12-11 |
| 1609345834 | Altru Specialty Services, Inc | Durable Medical Equipment & Medical Supplies | 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 | 2018-11-16 |
| 1225523004 | Alicia Mae Mack | Registered Nurse | 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 | 2018-06-25 |
| 1396260808 | Amber White | Behavior Technician | 2016 S Washington St., Grand Forks, ND 58201 | 2017-08-04 |
| 1225579840 | Kathleen Suzanne Tillman | Psychologist | 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 | 2017-03-15 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1477936029 | Laura Jane Carlson | Nurse Practitioner | 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 | 2015-07-01 |
| Find all providers in zip 58201 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900433 | Sree, Inc | In Home Supportive Care | 1102 S Washington St Ste 311, Bismarck, ND 58504-6267 | 2020-10-26 |
| 1912506627 | Diane T Schmidt-auch | In Home Supportive Care | 1193 Carroll St, Dickinson, ND 58601-5489 | 2020-10-23 |
| 1982203741 | County of Billings | In Home Supportive Care | 495 4th St, Medora, ND 58645 | 2020-10-22 |
| 1912506312 | Elevate Nursing LLC | In Home Supportive Care | 6100 Magnolia Dr, Bismarck, ND 58503-9111 | 2020-10-19 |
| 1538767926 | Minot Commission On Aging, Inc | In Home Supportive Care | 21 1st Avenue Se, Minot, ND 58701 | 2020-10-16 |
| 1164020749 | North Dakota Assistive | In Home Supportive Care | 3240 15th St S Ste B, Fargo, ND 58104-6188 | 2020-10-15 |
| 1013515063 | First Choice Care LLC | In Home Supportive Care | 4720 7th Ave S Ste E, Fargo, ND 58103-7254 | 2020-10-13 |
| 1902404957 | Support Systems, Inc. | In Home Supportive Care | 600 S 2nd St Ste 105, Bismarck, ND 58504-5701 | 2020-10-13 |
| 1003414913 | Prudent Homecare LLC | In Home Supportive Care | 1830 E Capitol Ave Apt 309, Bismarck, ND 58501-2214 | 2020-10-13 |
| 1700484078 | Hit Inc | In Home Supportive Care | 2640 Sunset Dr, Mandan, ND 58554-1541 | 2020-10-09 |
| Find all providers with the same taxonomy | ||||
| City | GRAND FORKS |
| Zip Code | 58201 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.