Active NPI
Andrea Steele
- Home Modifications Contractor
- Fargo, ND
National Provider Identifier
1801675657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- Practice address
- 505 Broadway N Ste 206
Fargo, ND 58102-4489 - Phone
- (701) 356-7836
- NPI assigned
- Sep 21, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- In Home Supportive Care Agency
- Fargo, ND
- NPI 1194501882
Home Modifications
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rebuilding Together of Fargo-Moorhead Area, Inc. | Home Modifications | Current | Accepting new patients |
Locations
505 Broadway N
Ste 206
Fargo, ND 58102
Phone (701) 356-7836
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Home Modifications Contractor | 171WH0202X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
505 Broadway N Ste 206
Fargo, ND 58102-4489
Mailing address
505 Broadway N Ste 206
Fargo, ND 58102-4489
Phone (701) 356-7836
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194501882 | Medicaid | ND |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 21, 2023.
{
"created_epoch": "1695254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1801675657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 BROADWAY N STE 206",
"city": "FARGO",
"state": "ND",
"postal_code": "581024489",
"telephone_number": "701-356-7836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 BROADWAY N STE 206",
"city": "FARGO",
"state": "ND",
"postal_code": "581024489",
"telephone_number": "701-356-7836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEELE",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-21",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1194501882",
"state": "ND"
}
],
"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 Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.