Home Care of North Dakota LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HOME CARE OF NORTH DAKOTA LLC

Doing business as

Home Care Companions

Practice address

2524 S Washington St Ste 5
Grand Forks, ND 58201-6764

Phone

(701) 757-4044

NPI assigned

May 11, 2020

Organization subpart

Yes

Parent organization

EDGEWOOD OPCO LLCAs reported in NPPES

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

Authorized official

Name

Melissa Johnson

Title

Vice President Home Care Services

Phone

(701) 757-4044

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Home Care Companions Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1124640339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 S WASHINGTON ST STE 5",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016764",
            "telephone_number": "701-757-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 S WASHINGTON ST STE 5",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016764",
            "telephone_number": "701-757-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE OF NORTH DAKOTA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EDGEWOOD OPCO LLC",
        "enumeration_date": "2020-05-11",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "VICE PRESIDENT HOME CARE SERVICES",
        "authorized_official_telephone_number": "701-757-4044"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1476888",
            "state": "ND"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hccinfo@yourhomecarecompanions.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "hccinfo@yourhomecarecompanions.com",
            "address_1": "2524 S Washington St Ste 5",
            "city": "Grand Forks",
            "state": "ND",
            "country_code": "US",
            "postal_code": "582016764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Home Care Companions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kamryn Holtz
• Jill Suzanne Suda Holum, LSW
• Lynn M Holum, LRD, CDE
• Candice Bradi Holy, LAPC
• Elizabeth Rae Holzwarth, MD
• Stephanie Homstad
• Scott Jacob Honkola, CRNA
• Amy Lynn Hood
• Larissa L Hood, MD
• Casey M Hoover, FNP-C

• In Home Supportive Care Agency in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• In Home Supportive Care Agency in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.