NPIMap

Organization Active NPI

Altru Health System

Doing business as Altru Home Health

  • Home Health Agency
  • Grand Forks, ND
National Provider Identifier
1346339850
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
4018A Issued in ND
Legal business name
ALTRU HEALTH SYSTEM
Doing business as
Altru Home Health
Practice address
2401 Demers Ave
Grand Forks, ND 58201-4183
Phone
(701) 780-5880
NPI assigned
Oct 12, 2006
Last updated
Nov 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Derek Goebel
Title
Cfo
Phone
(701) 780-1470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 4018A ND Primary

Addresses

Primary practice location

2401 Demers Ave
Grand Forks, ND 58201-4183

Mailing address

PO Box 860939
Minneapolis, MN 55486-0939

Other practice location 1

1001 7th St NE
Devils Lake, ND 58301-2719
Phone (701) 665-5296

Other names 1

  • Altru Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080430000367 ND Part A Provider - Home Health Agency 1355251604 Practice locations: Devils Lake, ND; Grand Forks, ND

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346339850. Details of each certification follow.

Home health agency certification: CCN 357014

Legal name
ALTRU HEALTH SYSTEM
Doing business as
ALTRU'S HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 1, 1979
Last certification
Feb 7, 2019
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 1997 in ND
Enrollment address
2401 Demers Ave
Grand Forks, ND 58201-4183
HHA Branch

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 13

Care Compare: Home health agency

Medicare Care Compare
Listed as
Altru's Home HealthCCN 357014 · All quality measures
Overall star rating
4.5 of 5
Ownership
Non-Profit
Certified
Sep 1, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
35D0670867Altru's Home Health2401 Demers Ave, Grand Forks, ND 58201Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Altru Clinic Thief River24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tammy Peterson Individual Corporate Director Jan 1, 2023
Altru Health System Organization, Grand Forks, ND Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 1997 100%
Rebecca K Novacek Individual Corporate Director Sep 23, 2024
Eric Halverson Individual Corporate DirectorVice Chair Dec 21, 2020
Russel Crary Individual Corporate Director Jan 1, 2023
Karen McLennan Individual Corporate DirectorChair Nov 23, 2020
Scott Meyer Individual Corporate Director Dec 18, 2023
Tod Forkel Individual Corporate OfficerChief Executive Officer Feb 28, 2022
Corporate DirectorChief Executive Officer Feb 28, 2022
Derek Goebel Individual Corporate OfficerChief Financial Officer Jan 15, 2023
W-2 Managing EmployeeChief Financial Officer Jan 15, 2023
Andrew Sorbo Individual Corporate Director Jan 1, 2023
Erin Navarro Individual Corporate Director Jul 1, 2018
Courtney K McNamee Individual W-2 Managing EmployeeAd; Mar 11, 2024
Jody B Treuer Individual Corporate Director Sep 30, 2019
Joshua Deere Individual Corporate DirectorPresident Sep 1, 2022

Owners & managing parties with NPI records 16

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 16

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Altru Rehabilitation HospitalGrand Forks, ND, CCN 353027 Hospital 5% Or Greater Direct Ownership Interest (40%) May 24, 2021
Valley Senior Living on ColumbiaGrand Forks, ND, CCN 355067 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 1994
May 21, 2025
Woodside VillageGrand Forks, ND, CCN 355112 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 1994
May 21, 2025

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 55

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1346339850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860939",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554860939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 DEMERS AVE",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014183",
            "telephone_number": "701-780-5880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 7th St NE",
            "address_purpose": "LOCATION",
            "city": "Devils Lake",
            "state": "ND",
            "postal_code": "583012719",
            "country_code": "US",
            "telephone_number": "701-665-5296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALTRU HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "GOEBEL",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "701-780-1470"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "ND",
            "license": "4018A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Altru Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Forks, ND

Sources for this page

Verify at the official NPI Registry.