NPIMap

Organization Active NPI

Caringedge Hospice of Minot LLC

  • Community Based Hospice Care Agency
  • Minot, ND
National Provider Identifier
1740799501
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CARINGEDGE HOSPICE OF MINOT LLC
Practice address
800 16TH Ave SE
Minot, ND 58701-6781
Phone
(888) 223-4287
NPI assigned
Sep 25, 2017
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Jennifer Lyn Davis
Title
Coo
Phone
(208) 473-2717

Facilities with the same owner 8

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

Affiliated clinicians 2

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Caringedge Hospice of MinotCCN 351518
Ownership
For-Profit
Certified
Apr 3, 2019
Medicare certification status
ActiveFrom the Provider of Services file

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180201002621 ND Part a Provider - Hospice 4880954346 Practice locations: Bismarck, ND; Fargo, ND; Grand Forks, ND; Minot, ND

Hospice certification: CCN 351518

Medicare enrollment files
Legal name
CARINGEDGE HOSPICE OF MINOT LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 3, 2019
Last certification
Apr 3, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
800 16TH Ave SE
Minot, ND 58701-6781

All disclosed owners & managing parties 6

Medicare enrollment files

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

NameRoleSinceShare
Megan Gale Ruff-Buchmeier Individual W-2 Managing EmployeeAdministrator Jun 1, 2019
Angela Hilleshiem Individual 5% Or Greater Direct Ownership InterestPresident Jan 1, 2017 5%
Michael Philip Gisi Individual 5% Or Greater Indirect Ownership Interest Feb 7, 2017 11.4%
Emily Marie Gisi Individual 5% Or Greater Indirect Ownership Interest Feb 7, 2017 11.4%
Philip Gisi Individual 5% Or Greater Indirect Ownership Interest Feb 7, 2017 37.1%
Edgewood Op Co LLC Organization, Grand Forks, ND For-profit 5% Or Greater Direct Ownership Interest May 16, 2017 95%
Operational/Managerial Control May 16, 2017

National Provider Directory

National Provider Directory

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

800 16TH Ave SE
Minot, ND 58701-6781

Mailing address

800 16TH Ave SE
Minot, ND 58701-6781
Phone (888) 223-4287

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 26, 2023.

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1740799501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 16TH AVE SE",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016781",
            "telephone_number": "888-223-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 16TH AVE SE",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016781",
            "telephone_number": "888-223-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARINGEDGE HOSPICE OF MINOT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "208-473-2717"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

Verify at the official NPI Registry.