Organization Active NPI

Warehouse 13, LLC

  • Home Health Agency
  • Fargo, ND
National Provider Identifier
1073370458
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WAREHOUSE 13, LLC
Practice address
300 Northern Pacific Ave N Ste 203
Fargo, ND 58102-4871
Phone
(701) 866-7254
NPI assigned
Mar 4, 2024
Last updated
Mar 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Mr. Theodore Anson Rosenbaum
Title
Ceo
Phone
(701) 866-7254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

300 Northern Pacific Ave N Ste 203
Fargo, ND 58102-4871

Mailing address

300 Northern Pacific Ave N Ste 203
Fargo, ND 58102-4871
Phone (701) 866-7254

National Provider Directory

National Provider Directory

Locations

300 Northern Pacific Ave N
Ste 203
Fargo, ND 58102
Phone (701) 866-7254

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1073370458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 NORTHERN PACIFIC AVE N STE 203",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581024871",
            "telephone_number": "701-866-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NORTHERN PACIFIC AVE N STE 203",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581024871",
            "telephone_number": "701-866-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAREHOUSE 13, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-03",
        "status": "A",
        "authorized_official_last_name": "ROSENBAUM",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "ANSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "701-866-7254",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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 Mar 4, 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.