Dakota Premier Home Care
Organization Active NPI Home Health Agency · Mandan, ND
NPI 1043866015 · NPPES record last updated Aug 14, 2019
Key facts
- NPI
- 1043866015
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- DAKOTA PREMIER HOME CARE
- Practice address
- 2108 Eastbay Dr SE
Mandan, ND 58554-6271 - Phone
- (646) 427-6612
- NPI assigned
- Aug 14, 2019
- Organization subpart
- No
Authorized official
- Name
- Roberta Korkor Garnett-Momo, MD
- Title
- Director of Nursing
- Phone
- (701) 390-0168
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
2108 Eastbay Dr SE
Mandan, ND 58554-6271
Mailing address
2108 Eastbay Dr SE
Mandan, ND 58554-6271
Phone (646) 427-6612
Other names
- Dakota Premier Home Care LLC
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | mosesmomo86@yahoo.com | Health Information Exchange (HIE) |
Other providers in Mandan, ND
- Desiree Crockford
- Jayd Culey
- Tawny Dahlen
- Dakota Physical Therapy P C
- Dakota Pointe
- Dakota Reliance Home Care
- Dakota Reliance Home Care
- Judy Dalzell
- Kelli Marie Dame
- Kim Damsgard
All providers in Mandan, ND · Home Health Agency in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.