Cara Noelle Brake
Individual provider Active NPI In Home Supportive Care Agency · Wahpeton, ND
NPI 1124833322 · NPPES record last updated Feb 12, 2025
Key facts
- NPI
- 1124833322
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Practice address
- 1876 17TH Ave N Apt 30
Wahpeton, ND 58075-3153 - Phone
- (701) 403-6065
- NPI assigned
- Feb 12, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
1876 17TH Ave N Apt 30
Wahpeton, ND 58075-3153
Mailing address
1876 17TH Ave N Apt 30
Wahpeton, ND 58075-3153
Other providers in Wahpeton, ND
- Rhiannon Skye Blatchford
- Alicia Lynn Blaufuss
- Zachary Bohn
- Simon Michael Bolls
- Alex Michael Boreen
- Justine Braun
- Lisa R. Braun
- Heather Alison Brekke
- Grant David Brendemuhl
- Kiffany Dawn Bruechert
All providers in Wahpeton, ND · In Home Supportive Care Agency in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.