Healthcare Provider Details

I. General information

NPI: 1700711942
Provider Name (Legal Business Name): BBR HOMEHEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

247 ROBERTS ST N APT 413
FARGO ND
58102-3933
US

IV. Provider business mailing address

247 ROBERTS ST N APT 413
FARGO ND
58102-3933
US

V. Phone/Fax

Practice location:
  • Phone: 970-556-7178
  • Fax:
Mailing address:
  • Phone: 970-556-7178
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. RABIU IBRAHIM RABIU
Title or Position: MANAGER
Credential:
Phone: 970-556-7178