NPIMap

Organization Active NPI

Elim Homes, Inc.

  • Skilled Nursing Facility
  • Fargo, ND
National Provider Identifier
1720076482
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1021A Issued in ND
Legal business name
ELIM HOMES, INC.
Practice address
3534 University Dr S
Fargo, ND 58104-6228
Phone
(701) 271-1803
Fax
(701) 271-1846
NPI assigned
Oct 7, 2005
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Seelochani Stadtherr
Title
Avp, Revenue Cycle Management
Phone
(952) 855-5041

National Provider Directory

National Provider Directory
Tax ID family
Elim Homes Inc Dba Pro Rehab10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

3534 University Dr S
Fargo, ND 58104
Phone (701) 271-1800

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1021A ND Primary

Addresses

NPPES NPI Registry

Primary practice location

3534 University Dr S
Fargo, ND 58104-6228

Mailing address

7171 Ohms LN
Edina, MN 55439-2142
Phone (952) 855-5041

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
030051MedicaidND
417226400MedicaidMN
1021AOtherNDNORTH DAKOTA STATE LICENS

Other names 1

NPPES NPI Registry
  • Elim Rehab & Care Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 23, 2026.

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1720076482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7171 OHMS LN",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392142",
            "telephone_number": "952-855-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3534 UNIVERSITY DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581046228",
            "telephone_number": "701-271-1803",
            "fax_number": "701-271-1846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIM HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "STADTHERR",
        "authorized_official_first_name": "SEELOCHANI",
        "authorized_official_title_or_position": "AVP, REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "952-855-5041"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ND",
            "license": "1021A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030051",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "417226400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH DAKOTA STATE LICENS",
            "identifier": "1021A",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elim Rehab & Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elim Rehab & Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 23, 2026; 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.