Individual provider Active NPI

Abdulkadir Ahmed Saad I

  • In Home Supportive Care Agency
  • Fargo, ND
National Provider Identifier
1003419607
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
1453432 Issued in ND
Practice address
1440 34TH St S Apt 207
Fargo, ND 58103-6314
Phone
(701) 793-7048
NPI assigned
Nov 17, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 1453432 ND Primary

Addresses

Primary practice location

1440 34TH St S Apt 207
Fargo, ND 58103-6314

Mailing address

4404 9TH Avenue Cir S Apt 305
Fargo, ND 58103-7019
Phone (701) 793-7048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1453432NDMDIn Home Supportive Care Agency

NPI Registry JSON

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1003419607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 9TH AVENUE CIR S APT 305",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581037019",
            "telephone_number": "701-793-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 34TH ST S APT 207",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036314",
            "telephone_number": "701-793-7048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAAD",
        "first_name": "ABDULKADIR",
        "middle_name": "AHMED",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "ND",
            "license": "1453432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.