NPIMap

Organization Active NPI

Prudent Homecare LLC

  • In Home Supportive Care Agency
  • Bismarck, ND
National Provider Identifier
1003414913
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PRUDENT HOMECARE LLC
Practice address
1830 E Capitol Ave Apt 309
Bismarck, ND 58501-2214
Phone
(701) 319-2659
NPI assigned
Oct 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ademola Coker
Title
Owner
Phone
(701) 319-2659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1830 E Capitol Ave Apt 309
Bismarck, ND 58501-2214

Mailing address

1830 E Capitol Ave Apt 309
Bismarck, ND 58501-2214
Phone (701) 319-2659

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1003414913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 E CAPITOL AVE APT 309",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585012214",
            "telephone_number": "701-319-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 E CAPITOL AVE APT 309",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585012214",
            "telephone_number": "701-319-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUDENT HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "COKER",
        "authorized_official_first_name": "ADEMOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-319-2659"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.