Healthcare Provider Details

I. General information

NPI: 1962311779
Provider Name (Legal Business Name): ON CALL HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2026
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3255 18TH ST S APT 111
FARGO ND
58104-6557
US

IV. Provider business mailing address

3255 18TH ST S APT 111
FARGO ND
58104-6557
US

V. Phone/Fax

Practice location:
  • Phone: 318-582-8684
  • Fax:
Mailing address:
  • Phone: 318-582-8684
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ANISH KATUWAL
Title or Position: OWNER
Credential:
Phone: 318-582-8684