Active NPI
Holisitc Care LLC
- Case Manager/Care Coordinator
- Fargo, ND
National Provider Identifier
1013515063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- HOLISITC CARE LLC
- Practice address
- 4720 7TH Ave S Ste E
Fargo, ND 58103-7254 - Phone
- (701) 552-0856
- NPI assigned
- Oct 13, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abdikarim Moallim Hussein
- Title
- Owner
- Phone
- (612) 205-0555
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
4720 7TH Ave S Ste E
Fargo, ND 58103-7254
Mailing address
4720 7TH Ave S Ste E
Fargo, ND 58103-7254
Phone (701) 552-0856
National Provider Directory
National Provider DirectoryLocations
4720 7th Ave S
Ste E
Fargo, ND 58103
Phone (612) 205-0555
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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": "1701388800000",
"number": "1013515063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4720 7TH AVE S STE E",
"city": "FARGO",
"state": "ND",
"postal_code": "581037254",
"telephone_number": "701-552-0856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4720 7TH AVE S STE E",
"city": "FARGO",
"state": "ND",
"postal_code": "581037254",
"telephone_number": "701-552-0856"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLISITC CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-13",
"last_updated": "2023-12-01",
"certification_date": "2023-12-01",
"status": "A",
"authorized_official_last_name": "HUSSEIN",
"authorized_official_first_name": "ABDIKARIM",
"authorized_official_middle_name": "MOALLIM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-205-0555"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"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 Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.