Organization Active NPI

Hospice of the Red River Valley

  • In Home Supportive Care Agency
  • Fargo, ND
National Provider Identifier
1780416511
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HOSPICE OF THE RED RIVER VALLEY
Practice address
1701 38TH St S Ste 101
Fargo, ND 58103-4499
Phone
(701) 356-1507
Fax
(701) 356-1596
NPI assigned
Aug 19, 2024
Last updated
Aug 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Authorized official

Name
Theresa Stahl
Title
Director of Finance
Phone
(701) 356-1507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

1701 38TH St S Ste 101
Fargo, ND 58103-4499

Mailing address

1701 38TH St S Ste 101
Fargo, ND 58103-4499
Phone (701) 356-1507

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1780416511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 38TH ST S STE 101",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581034499",
            "telephone_number": "701-356-1507",
            "fax_number": "701-356-1596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 38TH ST S STE 101",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581034499",
            "telephone_number": "701-356-1507",
            "fax_number": "701-356-1596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF THE RED RIVER VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "STAHL",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "701-356-1507"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 19, 2024; 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.