Organization Active NPI

Dakota Home Care LLC

  • Counselor
  • Phoenix, AZ
National Provider Identifier
1063281764
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
DAKOTA HOME CARE LLC
Practice address
2918 W Pecan Rd
Phoenix, AZ 85041-4425
Phone
(701) 215-1769
NPI assigned
Dec 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Authorized official

Name
Saido IgalNPI 1336872027
Title
Owner
Phone
(701) 215-1769

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)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

2918 W Pecan Rd
Phoenix, AZ 85041-4425

Mailing address

2918 W Pecan Rd
Phoenix, AZ 85041-4425
Phone (701) 215-1769

National Provider Directory

National Provider Directory

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": "1703203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1063281764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2918 W PECAN RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850414425",
            "telephone_number": "701-215-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2918 W PECAN RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850414425",
            "telephone_number": "701-215-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKOTA HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-22",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "IGAL",
        "authorized_official_first_name": "SAIDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-215-1769"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.