Healthcare Provider Details

I. General information

NPI: 1679361679
Provider Name (Legal Business Name): CARING HEART SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2025
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2512 7TH AVE S # F6
FARGO ND
58103-8747
US

IV. Provider business mailing address

2512 7TH AVE S UNIT 1F6
FARGO ND
58103-8747
US

V. Phone/Fax

Practice location:
  • Phone: 612-391-1900
  • Fax:
Mailing address:
  • Phone: 612-391-1900
  • 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 Code372500000X
TaxonomyChore Provider
License Number
License Number State

VIII. Authorized Official

Name: MAHDI YUSUF
Title or Position: PRESIDENT
Credential:
Phone: 612-391-1900