NPIMap

Organization Active NPI

Sanford Bismarck

Doing business as Sanford Home Care

  • Home Health Agency
  • Mandan, ND
National Provider Identifier
1669555744
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
4004B Issued in ND
Legal business name
SANFORD BISMARCK
Doing business as
Sanford Home Care
Practice address
910 18TH St NW
Mandan, ND 58554-1612
Phone
(701) 323-8400
Fax
(701) 323-8409
NPI assigned
Oct 23, 2006
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Tony Lee Morrison
Title
Vice President, Revenue Cycle
Phone
(605) 328-8380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 4004B ND Primary

Addresses

Primary practice location

910 18TH St NW
Mandan, ND 58554-1612

Mailing address

PO Box 2074
Sioux Falls, SD 57101-2074
Phone (605) 328-6585

Other names 1

  • Sanford Home Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030519000054 ND Part A Provider - Home Health Agency 9739098575 Practice locations: Mandan, ND

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669555744. Details of each certification follow.

Home health agency certification: CCN 357029

Legal name
SANFORD BISMARCK
Doing business as
SANFORD HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 25, 1984
Last certification
Sep 27, 2018
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Aug 2, 1984 in ND
Enrollment address
910 18TH St NW
Mandan, ND 58554-1612

Other NPIs with the same Medicare PAC ID 9

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

  • Sanford Bismarck

    dba Sanford Laboratory Bismarck

    • Clinical Medical Laboratory
    • Bismarck, ND
    • NPI 1154485944

    9739098575

    Same PAC ID
  • Sanford Bismarck

    dba Sanford Fort Yates Dialysis

    • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
    • Fort Yates, ND
    • NPI 1396828547

    9739098575

    Same PAC ID
  • Sanford Bismarck

    dba Sanford Home Care

    • Community Based Hospice Care Agency
    • Mandan, ND
    • NPI 1477631745

    9739098575

    Same PAC ID
  • Sanford Bismarck

    dba Sanford MRI Center

    • General Acute Care Hospital
    • Bismarck, ND
    • NPI 1538245634

    9739098575

    Same PAC ID
  • Sanford Bismarck

    dba Sanford Health Same Day Surgery Center

    • Ambulatory Surgical Clinic/Center
    • Dickinson, ND
    • NPI 1598185597

    9739098575

    Same PAC ID
  • Sanford Bismarck

    dba Sanford Bismarck Tom & Frances Leach Dialysis

    • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
    • Bismarck, ND
    • NPI 1700962818

    9739098575

    Same PAC ID
  • Sanford Bismarck

    dba Sanford Jamestown Dialysis

    • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
    • Jamestown, ND
    • NPI 1720161953

    9739098575

    Same PAC ID
  • Sanford Bismarck

    dba Sanford Bismarck Retail Pharmacy

    • Community/Retail Pharmacy
    • Bismarck, ND
    • NPI 1790889715

    9739098575

    Same PAC ID
  • Sanford Bismarck

    dba Family Wellness

    • Multi-Specialty Clinic/Center
    • Bismarck, ND
    • NPI 1811941172

    9739098575

    Same PAC ID

Care Compare: Home health agency

Medicare Care Compare
Listed as
Sanford Home Care - HHACCN 357029 · All quality measures
Overall star rating
3 of 5
Ownership
Non-Profit
Certified
Oct 25, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Med Center One Inc31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

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

View all 30

Member of 1

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

  • Sanford West

    dba Sanford West Histocompatibility Laboratory

    • Clinical Medical Laboratory
    • Bismarck, ND
    • NPI 1700130515

    Member Of

    NPD member

Ownership & related parties

All disclosed owners & managing parties 24

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

NameRoleSinceShare
Mark Allen Lundeen Individual Corporate DirectorTrustee Dec 4, 2014
Leigh Ann Thompson Individual W-2 Managing EmployeeChief Financial Officer, Bismarck May 5, 2024
Marnie Lynn Ventling-Herrmann Individual Corporate OfficerVice Chairperson Jan 1, 2024
Corporate DirectorTrustee Jan 1, 2022
Tony Lee Morrison Individual W-2 Managing EmployeeVP, Chief Revenue Cycle Officer Jan 19, 2020
Brent Gerard Teiken Individual Corporate DirectorTrustee Jul 3, 2012
Jolyn Joy Munson Individual W-2 Managing EmployeeVice President, Revenue Cycle Opera Apr 17, 2025
Dana James Dykhouse Individual Corporate DirectorTrustee Jan 1, 2024
Andrew Stewart North Individual Corporate OfficerSecretary Jan 1, 2020
Corporate DirectorTrustee Jan 1, 2017
Sanford West Organization, Bismarck, ND Non-profit 5% Or Greater Direct Ownership Interest Jul 3, 2012 100%
Mubashir K Badar Individual W-2 Managing EmployeeChief Physician, Bismarck Apr 1, 2022
Fred Fridley Individual W-2 Managing EmployeeChief Operating Officer, Bismarck Oct 3, 2012
Stephanie Marie Herseth Sandlin Individual Corporate DirectorTrustee Jan 1, 2024
William Joseph Gassen Individual Corporate OfficerCeo, Trustee Nov 23, 2020
Corporate DirectorCeo, Trustee Nov 23, 2020
George Joseph Brown Individual Corporate OfficerTreasurer Jan 1, 2025
Corporate DirectorTrustee Jan 1, 2025
Wesley Owen Engbrecht Individual Corporate DirectorBoard of Trustes Jan 1, 2021
Maureen Patricia McCausland Individual Corporate DirectorTrustee Jan 1, 2025
Sanford Organization, Fargo, ND Non-profit 5% Or Greater Indirect Ownership Interest Jul 3, 2012 100%
Thomas Richard Wenzel Individual Corporate DirectorTrustee Jan 1, 2025
David Jonathan Shulkin Individual Corporate DirectorTrustee Jan 1, 2024
Neil Leslie Gulsvig Individual Corporate DirectorTrustee Mar 28, 2019
Kevin Victor Schieffer Individual Corporate DirectorTrustee Jan 1, 2025
Lauris Nelson Molbert Individual Corporate OfficerChairperson Jan 1, 2024
Corporate DirectorBoard of Trustees Jan 1, 2021
Nicholas Wayne Olson Individual W-2 Managing EmployeeChief Financial Officer Apr 8, 2024
Todd W Schaffer Individual Corporate OfficerPresident Nov 1, 2021
W-2 Managing EmployeePresident Nov 1, 2021

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wentz Living CenterNapoleon, ND, CCN 355102 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2007
Jul 11, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Affiliated clinicians 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1669555744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571012074",
            "telephone_number": "605-328-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 18TH ST NW",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585541612",
            "telephone_number": "701-323-8400",
            "fax_number": "701-323-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD BISMARCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2023-11-27",
        "certification_date": "2020-07-02",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "VICE PRESIDENT, REVENUE CYCLE",
        "authorized_official_telephone_number": "605-328-8380"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "ND",
            "license": "4004B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sanford Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mandan, ND

Sources for this page

Verify at the official NPI Registry.