Healthcare Provider Details

I. General information

NPI: 1003419748
Provider Name (Legal Business Name): CARING HAND HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2020
Last Update Date: 11/17/2020
Certification Date: 11/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3256 18TH ST S APT 307
FARGO ND
58104-6578
US

IV. Provider business mailing address

3256 18TH ST S APT 307
FARGO ND
58104-6578
US

V. Phone/Fax

Practice location:
  • Phone: 701-541-6140
  • Fax:
Mailing address:
  • Phone: 701-541-6140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: ASHA M FARAH
Title or Position: EXECUTIVE DIRECTOR
Credential: RN
Phone: 701-541-6140