Active NPI
Triad Homecare Services LLC
- In Home Supportive Care Agency
- Fargo, ND
National Provider Identifier
1447941604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- TRIAD HOMECARE SERVICES LLC
- Practice address
- 112 University Dr N Ste 308
Fargo, ND 58102-4661 - Phone
- (701) 850-5492
- Fax
- (701) 403-8914
- NPI assigned
- May 18, 2023
- Last updated
- Dec 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mishael Mbithuka, RN-BSN
- Title
- Administrator
- Phone
- (701) 850-0810
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
112 University Dr N Ste 308
Fargo, ND 58102-4661
Mailing address
112 University Dr N Ste 308
Fargo, ND 58102-4661
Phone (701) 850-5492
National Provider Directory
National Provider DirectoryLocations
112 University Dr N
Ste 308
Fargo, ND 58102
Phone (701) 850-5492
112 University Dr N
Ste 320
Fargo, ND 58102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765929600000",
"number": "1447941604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 UNIVERSITY DR N STE 308",
"city": "FARGO",
"state": "ND",
"postal_code": "581024661",
"telephone_number": "701-850-5492",
"fax_number": "701-403-8914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 UNIVERSITY DR N STE 308",
"city": "FARGO",
"state": "ND",
"postal_code": "581024661",
"telephone_number": "701-850-5492",
"fax_number": "701-403-8914"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIAD HOMECARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-18",
"last_updated": "2025-12-17",
"certification_date": "2025-12-17",
"status": "A",
"authorized_official_last_name": "MBITHUKA",
"authorized_official_first_name": "MISHAEL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "701-850-0810",
"authorized_official_credential": "RN-BSN"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"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 Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.