Active NPI
Mukata Health Services LLC
- In Home Supportive Care Agency
- Bismarck, ND
National Provider Identifier
1083589683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- MUKATA HEALTH SERVICES LLC
- Practice address
- 4740 N 19TH St Apt 305
Bismarck, ND 58503-5494 - Phone
- (704) 877-9617
- NPI assigned
- Oct 6, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandra Iradukunda
- Title
- Owener
- Phone
- (704) 877-9617
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
4740 N 19TH St Apt 305
Bismarck, ND 58503-5494
Mailing address
4740 N 19TH St Apt 305
Bismarck, ND 58503-5494
Phone (704) 877-9617
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759708800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759795200000",
"number": "1083589683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4740 N 19TH ST APT 305",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585035494",
"telephone_number": "704-877-9617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4740 N 19TH ST APT 305",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585035494",
"telephone_number": "704-877-9617"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUKATA HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-06",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A",
"authorized_official_last_name": "IRADUKUNDA",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "OWENER",
"authorized_official_telephone_number": "704-877-9617"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.