MEDICARE: A1 FARGO SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1851249742
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A1 FARGO SERVICES LLC

Provider Business Mailing Address
First Line	:	426 BIRCH LN
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75081-5526
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	426 BIRCH LN
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75081-5526
Country	:	US
Telephone Number	:	469-401-7301
Fax Number	:

Authorized Official
Title or Position	:	AGENT
Name	:	JOSHUA KARIUKI JOSIAH
Credential	:
Telephone Number	:	469-401-7301

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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Directions to “A1 FARGO SERVICES LLC ” Practice Location

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