Richland County

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

4032A Issued in ND

Legal business name

RICHLAND COUNTY

Doing business as

Richland County Home Health

Practice address

413 3Rd Avenue North
Wahpeton, ND 58075

Phone

(701) 642-7735

Fax

(701) 642-7746

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Debra Flack, RN MS

Title

Administrator

Phone

(701) 642-7735

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Richland County Home Health Doing business as

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Home health agency certification: CCN 357004

Legal name

RICHLAND COUNTY

Doing business as

RICHLAND COUNTY HEALTH DEPARTMENT

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 20, 1966

Last certification

May 16, 2018

Ownership / control type

Government Operated

Organization structure

GovernmentNon-profit

Enrollment address

413 3Rd Ave N
Wahpeton, ND 58075-4427

Other NPIs with the same Medicare PAC ID 1

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

• Richland County

  dba Richland County Health Department

  • Public Health or Welfare Agency
  • Wahpeton, ND
  • NPI 1275626053

  1850344052

  Same PAC ID

Listed as

Richland County Home Health AgencyCCN 357004 · All quality measures

Ownership

Government Operated

Certified

Jul 20, 1966

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide

Tax ID family

Richland County Social Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Richland County

  dba Richland County Health Department

  • Public Health or Welfare Agency
  • Wahpeton, ND
  • NPI 1275626053
  NPD tax ID
• Richland County

  dba Richland County Family Planning

  • Non-Surgical Family Planning Clinic/Center
  • Wahpeton, ND
  • NPI 1427124247
  NPD tax ID
• Richland County Social Services

  • Case Management Agency
  • Wahpeton, ND
  • NPI 1003206772
  NPD tax ID
• Richland County Social Services

  • In Home Supportive Care Agency
  • Wahpeton, ND
  • NPI 1811387582
  NPD tax ID

All disclosed owners & managing parties 2

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

Owners & managing parties with NPI records 1

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

• Richland County

  dba Richland County Health Department

  • Public Health or Welfare Agency
  • Wahpeton, ND
  • NPI 1275626053

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1619064946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 3RD AVENUE NORTH",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "58075",
            "telephone_number": "701-642-7735",
            "fax_number": "701-642-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 3RD AVENUE NORTH",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "58075",
            "telephone_number": "701-642-7735",
            "fax_number": "701-642-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHLAND COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "FLACK",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "701-642-7735",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN MS"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "ND",
            "license": "4032A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ND",
            "identifier": "414",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50080",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richland County Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Red River Human Services Foundation
• Red River Human Services Foundation
• Red River Human Services Foundation
• Richland County (Richland County Health Department)
• Richland County (Richland County Family Planning)
• Richland County Social Services
• Richland County Social Services
• Lori Renee Ricigliano
• Victor Vincent Ricigliano
• Brandee Alexandra Rivard, PMHNP-BC

• Home Health Agency in Wahpeton, ND
• Providers in Wahpeton, 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 Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.