Caringedge Hospice of Fargo

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CARINGEDGE HOSPICE OF FARGO

Practice address

4420 37TH Ave S
Fargo, ND 58104-3400

Phone

(701) 365-8200

NPI assigned

Oct 2, 2018

Last updated

Nov 18, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Lyn Davis

Title

VP of Health Services

Phone

(208) 473-2717

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1437634706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 DEMERS AVE STE 500",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014799",
            "telephone_number": "701-738-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 37TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581043400",
            "telephone_number": "701-365-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARINGEDGE HOSPICE OF FARGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-02",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "VP OF HEALTH SERVICES",
        "authorized_official_telephone_number": "208-473-2717"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.