Healthcare Provider Details

I. General information

NPI: 1124957519
Provider Name (Legal Business Name): FZ HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4915 28TH AVE S APT 201
FARGO ND
58104-8465
US

IV. Provider business mailing address

4915 28TH AVE S APT 201
FARGO ND
58104-8465
US

V. Phone/Fax

Practice location:
  • Phone: 701-781-2202
  • Fax:
Mailing address:
  • Phone: 701-781-2202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: FATHI HIRSI
Title or Position: CEO
Credential:
Phone: 701-781-2202