Healthcare Provider Details

I. General information

NPI: 1598200529
Provider Name (Legal Business Name): BEK CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2016
Last Update Date: 08/31/2018
Certification Date:
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: 701-356-3803
  • Fax: 701-356-3804
Mailing address:
  • Phone: 701-356-3803
  • Fax: 701-356-3804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care 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