Jacquelyn Sue Ganyo
Individual provider Active NPI Homemaker · Grafton, ND
NPI 1194603779 · NPPES record last updated Aug 22, 2025
Key facts
- NPI
- 1194603779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 828 Kittson Ave
Grafton, ND 58237-1316 - Phone
- (701) 351-1046
- NPI assigned
- Aug 22, 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 |
|---|---|---|---|---|
| Chore Provider | 372500000X | |||
| Adult Companion | 372600000X | |||
| Personal Care Attendant | 3747P1801X | |||
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
828 Kittson Ave
Grafton, ND 58237-1316
Mailing address
828 Kittson Ave
Grafton, ND 58237-1316
Phone (701) 351-1046
Other providers in Grafton, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 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.