NPIMap

Organization Active NPI

Bek Care, LLC

  • Home Health Agency
  • Fargo, ND
National Provider Identifier
1043636723
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BEK CARE, LLC
Practice address
3361 45TH St S Ste 100
Fargo, ND 58104
Phone
(320) 763-1164
Fax
(320) 763-7548
NPI assigned
Mar 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Authorized official

Name
Marnie M Gugisberg
Title
Sr. VP/Cfo
Phone
(320) 763-1164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3361 45TH St S Ste 100
Fargo, ND 58104

Mailing address

3361 45TH St S Ste 100
Fargo, ND 58104-8988
Phone (320) 763-1164

Other names 1

  • Ethos Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140529001544 ND Part A Provider - Home Health Agency 3971726563 Practice locations: Fargo, ND; Grand Forks, ND

Home health agency certification: CCN 357302

Legal name
BEK CARE, LLC
Doing business as
ETHOS HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 9, 2014
Last certification
Dec 9, 2014
Ownership / control type
Non-Profit
Organization structure
LLCNon-profit
Incorporated
Feb 27, 2014 in ND
Enrollment address
3361 45TH St S
Ste 100
Fargo, ND 58104-9085

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ethos Home HealthCCN 357302
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
Dec 9, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Bek Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3361 45th St S
Ste 100
Fargo, ND 58104
Phone (320) 763-1164

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Melissa a Heesch Individual Corporate DirectorDirector Dec 13, 2018
Jon M Riewer Individual Corporate DirectorDirector Feb 13, 2014
Bethany Homes, Inc Organization, Fargo, ND Corporation, Non-profit Operational/Managerial Control Jun 30, 2018
Robert J Bye Individual Corporate OfficerVice-Chair Jun 11, 2019
Shawn a Stuhaug Individual Corporate DirectorDirector Feb 13, 2014
Thomas J Anderson Individual Corporate OfficerChair Jun 11, 2019
Dawn Hummel Individual Corporate DirectorDirector Sep 1, 2022
Jack Rydell Individual Corporate DirectorDirector Jun 11, 2019
Eventide Organization, Moorhead, MN Corporation, Non-profit Operational/Managerial Control Jun 30, 2018
Scott M Holm Individual W-2 Managing EmployeeDirector of Home Health/Hospice Jun 19, 2023 100%
Knute Nelson Organization, Alexandria, MN Corporation, Non-profit Operational/Managerial Control Jun 30, 2018
Mark Robert Anderson Individual Corporate OfficerVice President Feb 13, 2014
Marnie Marie Gugisberg Individual Corporate OfficerTreasurer Feb 13, 2014

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 17

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 17

Practitioners & affiliated clinicians

Affiliated clinicians 61

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 61

NPI Registry JSON

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

{
    "created_epoch": "1393977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1043636723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3361 45TH ST S STE 100",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048988",
            "telephone_number": "320-763-1164",
            "fax_number": "320-763-7548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3361 45TH ST S STE 100",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58104",
            "telephone_number": "320-763-1164",
            "fax_number": "320-763-7548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEK CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-05",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "GUGISBERG",
        "authorized_official_first_name": "MARNIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SR. VP/CFO",
        "authorized_official_telephone_number": "320-763-1164"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ethos Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.