NPIMap

Organization Active NPI

Rebuilding Together of Fargo-Moorhead Area, Inc.

  • In Home Supportive Care Agency
  • Fargo, ND
National Provider Identifier
1194501882
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
REBUILDING TOGETHER OF FARGO-MOORHEAD AREA, INC.
Practice address
505 Broadway N Ste 206
Fargo, ND 58102-4489
Phone
(701) 356-7836
NPI assigned
Sep 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Authorized official

Name
Cassie Jo SkalickyNPI 1033715735
Title
Executive Director
Phone
(701) 356-7836

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171WH0202X
Voluntary or Charitable Agency 251V00000X
In Home Supportive Care Agency 253Z00000X Primary
Chore ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 372500000X
Prevention ProfessionalGroup: 193200000X MULTI-SPECIALTY GROUP 405300000X

Addresses

Primary practice location

505 Broadway N Ste 206
Fargo, ND 58102-4489

Mailing address

505 Broadway N Ste 206
Fargo, ND 58102-4489
Phone (701) 356-7836

National Provider Directory

National Provider Directory

Locations

505 Broadway N
Ste 206
Fargo, ND 58102
Phone (701) 356-7836

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1194501882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 BROADWAY N STE 206",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581024489",
            "telephone_number": "701-356-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 BROADWAY N STE 206",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581024489",
            "telephone_number": "701-356-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBUILDING TOGETHER OF FARGO-MOORHEAD AREA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "SKALICKY",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "701-356-7836"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.