Innocent Tambwe

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

613 2ND St SW Apt 202
Jamestown, ND 58401-4015

Phone

(701) 353-9832

NPI assigned

Apr 7, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• FM Home Life Services LLC

  • Home Health Aide
  • Moorhead, MN
  • NPI 1063366698
  NPD Authorized official

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1477347227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 15TH ST S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565606928",
            "telephone_number": "701-353-9832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 2ND ST SW APT 202",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584014015",
            "telephone_number": "701-353-9832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBWE",
        "first_name": "INNOCENT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darcy Swanson, PHARM.D.
• T & K Early Intervention
• T & K Speech Language Services, Inc.
• Amy Beth Tahran, LPCC
• Codi Lyn Tahran, LAPC
• Raymundo T Tan, M.D.
• Jody Saltern Tanner, PA
• Kathleen Theresa-Busha Tarno, RN
• Munah Tarr I
• Jordan R Thomas, OD

• Home Health Agency in Jamestown, ND
• Providers in Jamestown, ND by specialty
• Home Health Agency in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.