Healthcare Provider Details

I. General information

NPI: 1326968165
Provider Name (Legal Business Name): HICARES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

819 30TH AVE S STE 200D
MOORHEAD MN
56560-5054
US

IV. Provider business mailing address

819 30TH AVE S STE 200D
MOORHEAD MN
56560-5054
US

V. Phone/Fax

Practice location:
  • Phone: 832-863-0858
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: WINNIFRED FLOBERG
Title or Position: MANAGING MEMBER
Credential:
Phone: 832-863-0858