NPIMap

Organization Active NPI

Bek Care, LLC

  • Community Based Hospice Care Agency
  • Fargo, ND
National Provider Identifier
1598200529
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
BEK CARE, LLC
Practice address
3361 45TH St S Ste 100
Fargo, ND 58104
Phone
(701) 356-3803
Fax
(701) 356-3804
NPI assigned
Dec 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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

Authorized official

Name
Marnie M Gugisberg
Title
Sr. VP/Cfo
Phone
(320) 763-1164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

3361 45TH St S Ste 100
Fargo, ND 58104

Mailing address

3361 45TH St S Ste 100
Fargo, ND 58104-8988
Phone (701) 356-3803

Other names 1

  • Ethos Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170310000179 ND Part A Provider - Hospice 3971726563 Practice locations: Fargo, ND; Grand Forks, ND

Hospice certification: CCN 351517

Legal name
BEK CARE, LLC
Doing business as
ETHOS HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 24, 2018
Last certification
Apr 24, 2018
Ownership / control type
Non-Profit - Private
Organization structure
LLCNon-profit
Incorporated
Feb 27, 2014 in ND
Enrollment address
3361 45TH St S
Ste 100
Fargo, ND 58104-9085

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Ethos HospiceCCN 351517
Ownership
For-Profit
Certified
Apr 24, 2018
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
35D2096756Ethos Home Care and Hospice3361 45TH St S Suite 100, Fargo, ND 58104Certificate of waiverMay 31, 2027

National Provider Directory

National Provider Directory
Tax ID family
Bek Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

115 Willow St W
Ste 2
Detroit Lakes, MN 56501
Phone (218) 844-8402

2877 45th St S
Ste 201
Fargo, ND 58104
Phone (701) 356-3803

4491 S Washington St
Ste A
Grand Forks, ND 58201
Phone (701) 757-0328

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Melissa a Heesch Individual Corporate DirectorDirector Dec 13, 2018
Jon M Riewer Individual Corporate DirectorDirector Dec 1, 2016
Bethany Homes, Inc Organization, Fargo, ND Corporation, Non-profit Operational/Managerial Control Jun 30, 2018
Robert J Bye Individual Corporate OfficerVice-Chair Jun 11, 2019
Shawn a Stuhaug Individual Corporate DirectorDirector Dec 1, 2016
Thomas J Anderson Individual Corporate OfficerChair Jun 11, 2019
Jane M Kelly Individual Corporate DirectorSecretary Dec 1, 2016
Jack Rydell Individual Corporate DirectorDirector Jun 11, 2019
Cassandra Marie Zielke Individual W-2 Managing EmployeeAdministrator Nov 9, 2017
Operational/Managerial ControlAdministrator Nov 9, 2017
Eventide Organization, Moorhead, MN Corporation, Non-profit Operational/Managerial Control Jun 30, 2018
Knute Nelson Organization, Alexandria, MN Corporation, Non-profit Operational/Managerial Control Jun 30, 2018
Mark Robert Anderson Individual Corporate OfficerVice-President Dec 1, 2016
Operational/Managerial Control Dec 1, 2016
Marnie Marie Gugisberg Individual Corporate OfficerTreasurer Dec 1, 2016

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 17

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 17

Practitioners & affiliated clinicians

Affiliated clinicians 11

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535673600000",
    "number": "1598200529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3361 45TH ST S STE 100",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048988",
            "telephone_number": "701-356-3803",
            "fax_number": "701-356-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3361 45TH ST S STE 100",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58104",
            "telephone_number": "701-356-3803",
            "fax_number": "701-356-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEK CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-29",
        "last_updated": "2018-08-31",
        "status": "A",
        "authorized_official_last_name": "GUGISBERG",
        "authorized_official_first_name": "MARNIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SR. VP/CFO",
        "authorized_official_telephone_number": "320-763-1164"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ethos Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.