Active NPI
Homefield Health, LLC
Doing business as Homefield Health
- Multi-Specialty Clinic/Center
- Fargo, ND
National Provider Identifier
1790210318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- License
- R32949
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84223 | Medicaid | ND |
Other names 1
- Homefield Health
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Nurse Practitioner
- Fargo, ND
- NPI 1437404795
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.