Healthcare Provider Details

I. General information

NPI: 1215850151
Provider Name (Legal Business Name): OUR FAMILY HOME CARE SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4024 53RD AVE S SUITE 104
FARGO ND
58103
US

IV. Provider business mailing address

33 S 3RD ST STE D
GRAND FORKS ND
58201-4789
US

V. Phone/Fax

Practice location:
  • Phone: 701-318-9023
  • Fax:
Mailing address:
  • Phone: 701-318-9023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: ANGELINA ZENON
Title or Position: OWNER
Credential:
Phone: 701-318-9023