Healthcare Provider Details

I. General information

NPI: 1043636723
Provider Name (Legal Business Name): BEK CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2014
Last Update Date: 05/10/2023
Certification Date: 05/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3361 45TH ST S STE 100
FARGO ND
58104
US

IV. Provider business mailing address

3361 45TH ST S STE 100
FARGO ND
58104-8988
US

V. Phone/Fax

Practice location:
  • Phone: 320-763-1164
  • Fax: 320-763-7548
Mailing address:
  • Phone: 320-763-1164
  • Fax: 320-763-7548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MARNIE M GUGISBERG
Title or Position: SR. VP/CFO
Credential:
Phone: 320-763-1164