Healthcare Provider Details

I. General information

NPI: 1477474070
Provider Name (Legal Business Name): KAYLEE MARLENE RICHTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

597 SUNSET PL
BISMARCK ND
58504-5283
US

IV. Provider business mailing address

597 SUNSET PL
BISMARCK ND
58504-5283
US

V. Phone/Fax

Practice location:
  • Phone: 701-741-0460
  • Fax:
Mailing address:
  • Phone: 701-741-0460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number81898
License Number StateND
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number81898
License Number StateND
# 3
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number81898
License Number StateND
# 4
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number81898
License Number StateND
# 5
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number81898
License Number StateND
# 6
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number81898
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: