Healthcare Provider Details

I. General information

NPI: 1295578573
Provider Name (Legal Business Name): SAFE HAND HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2024
Last Update Date: 11/29/2024
Certification Date: 11/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

732 MAYFLOWER DR
BISMARCK ND
58504-8501
US

IV. Provider business mailing address

732 MAYFLOWER DR
BISMARCK ND
58504-8501
US

V. Phone/Fax

Practice location:
  • Phone: 701-527-6019
  • Fax:
Mailing address:
  • Phone: 701-527-6019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385HR2055X
TaxonomyChild Mental Illness Respite Care
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: SARAH NANEY KING
Title or Position: DIRECT SUPPORT STAFF
Credential: CFO
Phone: 701-527-6019