Healthcare Provider Details

I. General information

NPI: 1164340667
Provider Name (Legal Business Name): JANET NGUTU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1723 HUNTINGTON DR
WEST FARGO ND
58078-4304
US

IV. Provider business mailing address

1723 HUNTINGTON DR
WEST FARGO ND
58078-4304
US

V. Phone/Fax

Practice location:
  • Phone: 701-318-7142
  • Fax:
Mailing address:
  • Phone: 701-318-7142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: