=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093677577
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DESIRE HEALTHCARE AGENCY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/02/2025
-----------------------------------------------------
Last Update Date | 12/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2951 24TH AVE S
-----------------------------------------------------
City | GRAND FORKS
-----------------------------------------------------
State | ND
-----------------------------------------------------
Zip | 58201-6122
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 701-610-5057
-----------------------------------------------------
Fax | 701-610-5057
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2951 24TH AVE S
-----------------------------------------------------
City | GRAND FORKS
-----------------------------------------------------
State | ND
-----------------------------------------------------
Zip | 58201-6122
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 701-610-5057
-----------------------------------------------------
Fax | 701-610-5057
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | OORE-OFE BLESSING BABATUNDE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 701-610-5057
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------