Organization Active NPI

Mukata Health Services LLC

  • In Home Supportive Care Agency
  • Bismarck, ND
National Provider Identifier
1083589683
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Oct 7, 2025

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.