Organization Active NPI

FM Home Life Services LLC

  • Home Health Aide
  • Moorhead, MN
National Provider Identifier
1063366698
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
FM HOME LIFE SERVICES LLC
Practice address
3403 15TH St S
Moorhead, MN 56560-6928
Phone
(701) 353-9832
NPI assigned
Feb 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Authorized official

Name
Innocent TambweNPI 1477347227
Title
Owner
Phone
(701) 353-9832

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
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

3403 15TH St S
Moorhead, MN 56560-6928

Mailing address

3403 15TH St S
Moorhead, MN 56560-6928
Phone (701) 353-9832

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": "1771804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1063366698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 15TH ST S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565606928",
            "telephone_number": "701-353-9832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3403 15TH ST S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565606928",
            "telephone_number": "701-353-9832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FM HOME LIFE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-23",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-22",
        "status": "A",
        "authorized_official_last_name": "TAMBWE",
        "authorized_official_first_name": "INNOCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-353-9832"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.