Active NPI
Linda Littopo Willie
- In Home Supportive Care Agency
- Fargo, ND
National Provider Identifier
1467280016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 39680
- Practice address
- 202 San Juan Dr S
Fargo, ND 58103-1014 - Phone
- (651) 263-2849
- NPI assigned
- Jul 24, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 39680 | ND | Primary |
Addresses
Primary practice location
202 San Juan Dr S
Fargo, ND 58103-1014
Mailing address
202 San Juan Dr S
Fargo, ND 58103-1014
Phone (651) 263-2849
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39680 | ND | MD | In Home Supportive Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1467280016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 SAN JUAN DR S",
"city": "FARGO",
"state": "ND",
"postal_code": "581031014",
"telephone_number": "651-263-2849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 SAN JUAN DR S",
"city": "FARGO",
"state": "ND",
"postal_code": "581031014",
"telephone_number": "651-263-2849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIE",
"first_name": "LINDA",
"middle_name": "LITTOPO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-24",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "ND",
"license": "39680",
"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 Jul 24, 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.