Companion Roots

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

COMPANION ROOTS

Practice address

122 23Rd St S Ste F2
Fargo, ND 58103-1300

Phone

(214) 680-3782

NPI assigned

May 19, 2025

Last updated

May 19, 2025By 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

Hassan Sharif Mohamud

Title

Owner

Phone

(214) 680-3782

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1669264495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 23RD ST S STE F2",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031300",
            "telephone_number": "214-680-3782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 23RD ST S STE F2",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031300",
            "telephone_number": "214-680-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPANION ROOTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-17",
        "status": "A",
        "authorized_official_last_name": "MOHAMUD",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_middle_name": "SHARIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-680-3782"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.