Healthcare Provider Details

I. General information

NPI: 1780959809
Provider Name (Legal Business Name): DAKOTA HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2012
Last Update Date: 06/11/2024
Certification Date: 02/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W CENTURY AVE STE B
BISMARCK ND
58503-4900
US

IV. Provider business mailing address

300 W CENTURY AVE STE B
BISMARCK ND
58503-4900
US

V. Phone/Fax

Practice location:
  • Phone: 701-663-5373
  • Fax: 701-663-8556
Mailing address:
  • Phone: 701-663-5373
  • Fax: 701-663-8556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number4075
License Number StateND
# 3
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number4075
License Number StateND

VIII. Authorized Official

Name: BEVERLY UNRATH
Title or Position: OWNER
Credential:
Phone: 701-663-5373