Patriots Home Health Aid LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1469742 Issued in ND

Legal business name

PATRIOTS HOME HEALTH AID LLC

Doing business as

Patriots Home

Practice address

26 W Villard St
Office 3B
Dickinson, ND 58601-5118

Phone

(701) 491-0204

Fax

(701) 575-7292

NPI assigned

Feb 23, 2017

Last updated

Feb 23, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Adeyemi Aderogba

Title

President

Phone

(701) 290-0291

Specialties & licenses 2

Addresses

Other names 1

• PATRIOTS HOME Doing business as

Locations

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1144760174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 W VILLARD ST",
            "address_2": "OFFICE 3B",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586015118",
            "telephone_number": "701-491-0204",
            "fax_number": "701-575-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 W VILLARD ST",
            "address_2": "OFFICE 3B",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586015118",
            "telephone_number": "701-491-0204",
            "fax_number": "701-575-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOTS HOME HEALTH AID LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-23",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "ADEROGBA",
        "authorized_official_first_name": "ADEYEMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-290-0291",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "ND",
            "license": "1469742",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "ND",
            "license": "1469742",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PATRIOTS HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Palmer
• Karli Paluck
• Alysse Elizabeth Papic Zellner, MA
• Ellie M. Papineau, LAC
• Pathway Wellness
• Josefina M Pavlicek
• Tracey L Pavlicek, RPH
• Heaven Pechtl
• Annika L Peck
• Ronda A. Pedersen, LSW

• Home Health Agency in Dickinson, ND
• Providers in Dickinson, ND by specialty
• Home Health Agency in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.