Organization Active NPI

Optimized Home Care

  • In Home Supportive Care Agency
  • Fargo, ND
National Provider Identifier
1396412987
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
OPTIMIZED HOME CARE
Practice address
700 Main Ave
Fargo, ND 58103-1807
Phone
(218) 979-9690
NPI assigned
Aug 23, 2021
Last updated
Aug 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Authorized official

Name
Ahmed Ulow
Title
Owner/Supervisor
Phone
(218) 979-9690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

700 Main Ave
Fargo, ND 58103-1807

Mailing address

700 Main Ave
Fargo, ND 58103-1807
Phone (218) 979-9690

National Provider Directory

National Provider Directory

Locations

700 Main Ave
Fargo, ND 58103
Phone (218) 979-9690

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1396412987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MAIN AVE",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031807",
            "telephone_number": "218-979-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MAIN AVE",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031807",
            "telephone_number": "218-979-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMIZED HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "ULOW",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER/SUPERVISOR",
        "authorized_official_telephone_number": "218-979-9690"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 Aug 23, 2021; 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.