AMEDISYS NORTH DAKOTA LLC (NPI# 1700024353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700024353 |
| Entity Type | Organization |
| Organization Name | AMEDISYS NORTH DAKOTA LLC |
| Other Organization Name | AMEDISYS HOME HEALTH OF FARGO |
| Practice Address |
4666 Amber Valley Pkwy Suite 2 Fargo ND 58104-8612 |
| Mailing Address |
5959 S Sherwood Forest Blvd Baton Rouge LA 70816-6038 |
| Practice Telephone | 7012773091 |
| Practice Fax Number | 7012773591 |
| Mailing Telephone | 2252983548 |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2009-10-28 |
| Authorized Official Name | MR. WILLIAM BORNE (CEO) |
| Authorized Official Telephone | 2252922031 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | PENDING | Agencies |
| Other Name | Type Code |
|---|---|
| Amedisys Home Health of Fargo | Doing Business As Name - Organization |
| Street Address |
4666 AMBER VALLEY PKWY SUITE 2 |
| City | FARGO |
| State | ND |
| Zip Code | 58104-8612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837347 | Pinnacle Therapy & Wellness, Pllc | Physical Therapist | 4500 36th Ave S Suite 100, Fargo, ND 58104 | 2020-07-02 |
| 1619509858 | Patricia Helen Bathie | Counselor | 4243 Auburn Ave., Fargo, ND 58104 | 2020-02-05 |
| 1346892866 | Elizabeth Olis | Registered Nurse | 2633 55th St. S, Apartment 202, Fargo, ND 58104 | 2019-07-15 |
| 1780247023 | Keith Kirimi Ndege | Physical Therapy Assistant | 5225 23rd Ave South, Fargo, ND 58104 | 2019-04-22 |
| 1346728557 | Ms4 Pllc | Pharmacy | 4476 31st Avenue South, Suite #105, Fargo, ND 58104 | 2018-07-31 |
| 1891286977 | Jessica Rae Majidian | Dentist | 3030 49th St S, Fargo, ND 58104 | 2018-05-23 |
| 1821588500 | Alissa Nichole Larson | Pharmacist | 5675 26th Ave S St. 136a, Fargo, ND 58104 | 2018-05-17 |
| 1790297430 | Northern Lights Dental | Dentist | 4150 19th Ave S, Suite 301, Fargo, ND 58104 | 2017-11-03 |
| 1619406733 | Cobalt Rehabilitation Hospital Fargo LLC | Rehabilitation Hospital | 4671 38th Street S, Fargo, ND 58104 | 2017-06-12 |
| 1790210318 | Homefield Health, LLC | Clinic/Center | 4141 31st Ave S., Ste 102, Fargo, ND 58104 | 2017-04-21 |
| Find all providers in zip 58104 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| 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. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356315 | Nizhoni Healthcare Services, LLC | Home Health | 825 25th St S Ste F, Fargo, ND 58103-8724 | 2020-11-06 |
| 1598363418 | Divine Home Care LLC | Home Health | 1544 E Gateway Cir S Apt 206, Fargo, ND 58103-3643 | 2020-10-13 |
| 1912524273 | Jonta Delisa Tidwell | Home Health | 3026 18th St S, Fargo, ND 58103-6716 | 2020-07-01 |
| 1528547577 | Sonmar Home Care, LLC | Home Health | 15 Broadway N Ste 604, Fargo, ND 58102-4907 | 2018-08-10 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1770981680 | Kahiye Amin Sr. | Home Health | 2305 Main St S, Fargo, ND 58103 | 2014-12-09 |
| 1194122747 | Accurate Home Care of North Dakota, LLC | Home Health | 825 28th St. S Ste A, Unit A, Fargo, ND 58103-2325 | 2014-11-25 |
| 1043636723 | Bek Care, LLC | Home Health | 3361 45th St S Ste 100, Fargo, ND 58104 | 2014-03-05 |
| 1043564545 | Continental Home Health-aide Inc | Home Health | 122 23rd St S, Suite F8, Fargo, ND 58103-1300 | 2012-11-05 |
| 1649595513 | C & R Quality Living LLC | Home Health | 1336 25th Ave S Ste 213, Fargo, ND 58103-5202 | 2010-04-02 |
| Find all providers in FARGO | ||||
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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.