Active NPI
Tami'S Angels, Inc.
- Community Based Hospice Care Agency
- Fargo, ND
National Provider Identifier
1588866685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- TAMI'S ANGELS, INC.
- Practice address
- 624 Main Ave
Suite 10
Fargo, ND 58103-1966 - Phone
- (701) 237-3415
- NPI assigned
- Jun 1, 2007
- 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
- Mrs. Tami Kay Boyer
- Title
- Owner
- Phone
- (701) 237-3415
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
624 Main Ave
Suite 10
Fargo, ND 58103-1966
Mailing address
624 Main Ave
Suite 10
Fargo, ND 58103-1966
Phone (701) 237-3415
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 032398 | Medicaid | ND | |
| 033783 | Medicaid | ND |
National Provider Directory
National Provider DirectoryLocations
624 Main Ave
Ste 10
Fargo, ND 58103
Phone (701) 237-3415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1588866685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 MAIN AVE",
"address_2": "SUITE 10",
"city": "FARGO",
"state": "ND",
"postal_code": "581031966",
"telephone_number": "701-237-3415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 MAIN AVE",
"address_2": "SUITE 10",
"city": "FARGO",
"state": "ND",
"postal_code": "581031966",
"telephone_number": "701-237-3415"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAMI'S ANGELS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BOYER",
"authorized_official_first_name": "TAMI",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "701-237-3415",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "032398",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "033783",
"state": "ND"
}
],
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.