Organization Active NPI

Greater Grand Forks Senior Citizens Assoc, Inc.

  • Meals Provider
  • Grand Forks, ND
National Provider Identifier
1811781115
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Meals ProviderTaxonomy code 174200000X
Legal business name
GREATER GRAND FORKS SENIOR CITIZENS ASSOC, INC.
Practice address
620 4TH Ave S
Grand Forks, ND 58201-4534
Phone
(701) 772-7245
Fax
(701) 772-0213
NPI assigned
Apr 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Authorized official

Name
Colette Kim Iseminger, MS, RD, LRD
Title
Executive Director
Phone
(701) 772-7245

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

620 4TH Ave S
Grand Forks, ND 58201-4534

Mailing address

620 4TH Ave S
Grand Forks, ND 58201-4534
Phone (701) 772-7245

National Provider Directory

National Provider Directory

Locations

620 4th Ave S
Grand Forks, ND 58201
Phone (701) 772-7245

NPI Registry JSON

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

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1811781115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 4TH AVE S",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014534",
            "telephone_number": "701-772-7245",
            "fax_number": "701-772-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 4TH AVE S",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014534",
            "telephone_number": "701-772-7245",
            "fax_number": "701-772-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER GRAND FORKS SENIOR CITIZENS ASSOC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "ISEMINGER",
        "authorized_official_first_name": "COLETTE",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "701-772-7245",
        "authorized_official_credential": "MS, RD, LRD"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.