Organization Active NPI

Triad Homecare Services LLC

  • In Home Supportive Care Agency
  • Fargo, ND
National Provider Identifier
1447941604
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.