NPIMap

Organization Active NPI

Villa Nazareth

Doing business as Friendship, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Fargo, ND
National Provider Identifier
1437213790
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
35003 Issued in ND
Legal business name
VILLA NAZARETH
Doing business as
Friendship, Inc.
Practice address
2302 18TH Street South
Fargo, ND 58103-2315
Phone
(701) 235-8217
Fax
(701) 235-7538
NPI assigned
Dec 21, 2006
Last updated
Oct 9, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
CATHOLIC HEALTH INITIATIVESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Authorized official

Name
Mr. Dave Keeler
Title
Cfo
Phone
(701) 235-8217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 35003 ND Primary

Addresses

Primary practice location

2302 18TH Street South
Fargo, ND 58103-2315

Mailing address

801 Page Dr S
Fargo, ND 58103-2315
Phone (701) 235-8217

Other identifiers 1

IdentifierTypeStateIssuer
30823MedicaidND

Other names 1

  • Friendship, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437213790. Details of each certification follow.

  • CCN 35G032 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 35G032

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Friendship-2302
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Oct 1, 1985
Last certification
Sep 16, 2025
Beds
6
Ownership / control type
Private (non-profit)
Facility address
2302 18th St S
Fargo, ND 58103

National Provider Directory

National Provider Directory
Tax ID family
Friendship Inc3 organizations share this tax ID, including this one
Part of
Catholic Health Initiatives

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1437213790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 PAGE DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032315",
            "telephone_number": "701-235-8217",
            "fax_number": "701-235-7538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 18TH STREET SOUTH",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032315",
            "telephone_number": "701-235-8217",
            "fax_number": "701-235-7538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA NAZARETH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC HEALTH INITIATIVES",
        "enumeration_date": "2006-12-21",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "KEELER",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "701-235-8217",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "ND",
            "license": "35003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30823",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friendship, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.