Mott Health Care Center

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

MOTT HEALTH CARE CENTER

Practice address

401 Millionaire Ave
Mott, ND 58646-7270

Phone

(701) 824-3222

Fax

(701) 824-2113

NPI assigned

Aug 4, 2023

Last updated

Oct 16, 2023By 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

Jodi Moore, PA-C

Title

Administrator

Phone

(701) 290-0690

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1508548819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32",
            "city": "MOTT",
            "state": "ND",
            "postal_code": "586460032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MILLIONAIRE AVE",
            "city": "MOTT",
            "state": "ND",
            "postal_code": "586467270",
            "telephone_number": "701-824-3222",
            "fax_number": "701-824-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTT HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "701-290-0690",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curtis Jahner
• Jill Kerzman, LSW
• Billie Jo Mattis, PA-C
• Lauren Meier, DPT
• Mott Ambulance Service
• Kristen Lee Olson, D.D.S.
• Darrel Pritchard
• Janet Pritchard
• Southwest Special Education Unit
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Mott)

• Custodial Care Facility in Mott, ND
• Providers in Mott, ND by specialty
• Custodial Care Facility in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.