Target Homecare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

TARGET HOMECARE LLC

Practice address

112 University Dr N Ste 112
Fargo, ND 58102-4659

Phone

(701) 793-8464

NPI assigned

Oct 24, 2024

Organization subpart

No

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

Authorized official

Name

Jolly Ata Pepper

Title

Ceo

Phone

(701) 793-8464

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1821819541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 UNIVERSITY DR N STE 112",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581024659",
            "telephone_number": "701-793-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 UNIVERSITY DR N STE 112",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581024659",
            "telephone_number": "701-793-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGET HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "PEPPER",
        "authorized_official_first_name": "JOLLY",
        "authorized_official_middle_name": "ATA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "701-793-8464"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Leigh Tangen, DOCTORATE
• Huanan Tao
• Vera Taoh
• Macie Kay Tapp, OTR/L
• Breanna Rose Taralson
• George Tarpeh
• Mindy Tarvestad, RRT
• Princess Tarwo
• Carolyn Tate
• John Michael Tate, MD

• In Home Supportive Care Agency in Fargo, ND
• Providers in Fargo, ND by specialty
• In Home Supportive Care Agency in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.