Healthcare Provider Details

I. General information

NPI: 1366350894
Provider Name (Legal Business Name): OUR FAMILY HOME CARE SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

5146 49TH AVE S
FARGO ND
58104-4230
US

V. Phone/Fax

Practice location:
  • Phone: 701-212-2513
  • Fax:
Mailing address:
  • Phone: 701-212-2513
  • 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: CHRISTOPHER DAVIS
Title or Position: OWNER
Credential:
Phone: 701-212-2513