Individual provider Active NPI

Evariste Nkundabatware Busanga

  • Personal Care Attendant
  • Fargo, ND
National Provider Identifier
1780506410
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
BUS733333 Issued in ND
Practice address
407 21St St S
Fargo, ND 58103-1430
Phone
(701) 929-0985
Fax
(701) 929-0985
NPI assigned
Jul 27, 2026
Last updated
Jul 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X BUS733333 ND Primary

Addresses

Primary practice location

407 21St St S
Fargo, ND 58103-1430

Mailing address

407 21St St S
Fargo, ND 58103-1430
Phone (701) 929-0985

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1785110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1780506410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 21ST ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031430",
            "telephone_number": "701-929-0985",
            "fax_number": "701-929-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 21ST ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031430",
            "telephone_number": "701-929-0985",
            "fax_number": "701-929-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSANGA",
        "first_name": "EVARISTE",
        "middle_name": "NKUNDABATWARE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-07-27",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "ND",
            "license": "BUS733333",
            "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 Jul 27, 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.