Organization Active NPI

Kindred Care LLC

  • In Home Supportive Care Agency
  • Grand Forks, ND
National Provider Identifier
1417792383
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KINDRED CARE LLC
Practice address
1614 23Rd Ave NE
Grand Forks, ND 58203-9410
Phone
(218) 201-2018
NPI assigned
Jul 1, 2024
Last updated
Jul 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Authorized official

Name
Brooke Hasselbeck
Title
Operating Member
Phone
(218) 230-0893

Specialties & licenses 1

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

Addresses

Primary practice location

1614 23Rd Ave NE
Grand Forks, ND 58203-9410

Mailing address

310 N 49TH St
Grand Forks, ND 58203-2616
Phone (218) 230-0893

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1417792383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N 49TH ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582032616",
            "telephone_number": "218-230-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 23RD AVE NE",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582039410",
            "telephone_number": "218-201-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "HASSELBECK",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "OPERATING MEMBER",
        "authorized_official_telephone_number": "218-230-0893"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.