Organization Active NPI

Sage Meadow Homecare LLC

  • In Home Supportive Care Agency
  • Fargo, ND
National Provider Identifier
1033086756
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SAGE MEADOW HOMECARE LLC
Practice address
300 25TH St S
Fargo, ND 58103-2306
Phone
(602) 330-5060
NPI assigned
Oct 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Authorized official

Name
Amino N Abdulle
Title
Owner
Phone
(602) 330-5060

Specialties & licenses 1

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

Addresses

Primary practice location

300 25TH St S
Fargo, ND 58103-2306

Mailing address

300 25TH St S
Fargo, ND 58103-2306
Phone (602) 330-5060

National Provider Directory

National Provider Directory

Locations

300 25th St S
Fargo, ND 58103
Phone (602) 330-5060

NPI Registry JSON

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

{
    "created_epoch": "1760659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1033086756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 25TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032306",
            "telephone_number": "602-330-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 25TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032306",
            "telephone_number": "602-330-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE MEADOW HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-17",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "ABDULLE",
        "authorized_official_first_name": "AMINO",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-330-5060"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "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 Oct 17, 2025; 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.