Organization Active NPI

Uplift Community LLC

  • In Home Supportive Care Agency
  • Fargo, ND
National Provider Identifier
1407548464
Registry record updated Aug 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
UPLIFT COMMUNITY LLC
Practice address
4333 15TH Ave S Apt 324
Fargo, ND 58103-3356
Phone
(701) 491-3819
NPI assigned
May 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2023

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

Authorized official

Name
Fozia Abdullahi
Title
Ceo
Phone
(701) 491-3819

Specialties & licenses 1

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

Addresses

Primary practice location

4333 15TH Ave S Apt 324
Fargo, ND 58103-3356

Mailing address

4333 15TH Ave S Apt 324
Fargo, ND 58103-3356
Phone (701) 491-3819

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691884800000",
    "number": "1407548464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 15TH AVE S APT 324",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033356",
            "telephone_number": "701-491-3819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 15TH AVE S APT 324",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033356",
            "telephone_number": "701-491-3819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPLIFT COMMUNITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-08-13",
        "certification_date": "2023-08-13",
        "status": "A",
        "authorized_official_last_name": "ABDULLAHI",
        "authorized_official_first_name": "FOZIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "701-491-3819"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "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 13, 2023; 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.