Organization Active NPI

Homefield Health, LLC

Doing business as Homefield Health

  • Multi-Specialty Clinic/Center
  • Fargo, ND
National Provider Identifier
1790210318
Registry record updated Dec 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
R32949 Issued in ND
Legal business name
HOMEFIELD HEALTH, LLC
Doing business as
Homefield Health
Practice address
4141 31St Ave S.
Ste 102
Fargo, ND 58104
Phone
(701) 356-0097
Fax
(701) 356-0061
NPI assigned
Apr 21, 2017
Last updated
Dec 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2018

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

Authorized official

Name
Mrs. Melissa Ann Knecht-Savey, FNP-C/OWNER
Title
Owner/President
Phone
(701) 356-0097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X R32949 ND Primary

Addresses

Primary practice location

4141 31St Ave S.
Ste 102
Fargo, ND 58104

Mailing address

4141 31St Ave S Ste 102
Fargo, ND 58104-8778
Phone (701) 361-3838

Other identifiers 1

IdentifierTypeStateIssuer
84223MedicaidND

Other names 1

  • Homefield Health Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544572800000",
    "number": "1790210318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 31ST AVE S STE 102",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048778",
            "telephone_number": "701-361-3838",
            "fax_number": "701-540-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 31ST AVE S.",
            "address_2": "STE 102",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58104",
            "telephone_number": "701-356-0097",
            "fax_number": "701-356-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEFIELD HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-21",
        "last_updated": "2018-12-12",
        "status": "A",
        "authorized_official_last_name": "KNECHT-SAVEY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "701-356-0097",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C/OWNER"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "ND",
            "license": "R32949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84223",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homefield Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Homefield Health",
            "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 Dec 12, 2018; 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.