Convenient Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CONVENIENT HOME CARE LLC

Practice address

3523 45TH St S
Fargo, ND 58104-8962

Phone

(701) 781-0208

NPI assigned

Oct 18, 2020

Organization subpart

No

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

Authorized official

Name

Ibrahim A AhmedNPI 1609553619

Title

President

Phone

(701) 781-0208

Specialties & licenses 1

Addresses

Other names 1

• Convenient Home Care LLC Doing business as

Electronic endpoints 3

Practitioners 1

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

• Ibrahim Ahmed

  • Peer Specialist
  • Fargo, ND
  • NPI 1609553619
  NPD Authorized official

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

{
    "created_epoch": "1602979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602979200000",
    "number": "1215536685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3523 45TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048962",
            "telephone_number": "701-781-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3523 45TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048962",
            "telephone_number": "701-781-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVENIENT HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-18",
        "last_updated": "2020-10-18",
        "certification_date": "2020-10-18",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-781-0208"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@Convenienthomecarellc.com",
            "affiliation": "N",
            "endpointDescription": "Email of the business",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Ibrahim Ahmed",
            "address_1": "3523 45th St S Ste 186",
            "city": "Fargo",
            "state": "ND",
            "country_code": "US",
            "postal_code": "581048962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@Convenienthomecarellc.com",
            "affiliation": "N",
            "endpointDescription": "Email of the business",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Ibrahim Ahmed",
            "address_1": "3523 45th St S Ste 186",
            "city": "Fargo",
            "state": "ND",
            "country_code": "US",
            "postal_code": "581048962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@Convenienthomecarellc.com",
            "affiliation": "N",
            "endpointDescription": "Email of the business",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Ibrahim Ahmed",
            "address_1": "3523 45th St S Ste 186",
            "city": "Fargo",
            "state": "ND",
            "country_code": "US",
            "postal_code": "581048962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Convenient Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2020; 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.