Active NPI
Emma-Providence LLC
- In Home Supportive Care Agency
- Fargo, ND
National Provider Identifier
1821914540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- EMMA-PROVIDENCE LLC
- Practice address
- 4054 51St Way S
Fargo, ND 58104-6080 - Phone
- (862) 218-9941
- NPI assigned
- Jun 26, 2026
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Marie Tenin Dore
- Title
- Ceo
- Phone
- (862) 218-9941
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4054 51St Way S
Fargo, ND 58104-6080
Mailing address
4054 51St Way S
Fargo, ND 58104-6080
Phone (862) 218-9941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 26, 2026.
{
"created_epoch": "1782432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782432000000",
"number": "1821914540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4054 51ST WAY S",
"city": "FARGO",
"state": "ND",
"postal_code": "581046080",
"telephone_number": "862-218-9941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4054 51ST WAY S",
"city": "FARGO",
"state": "ND",
"postal_code": "581046080",
"telephone_number": "862-218-9941"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMMA-PROVIDENCE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-26",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A",
"authorized_official_last_name": "DORE",
"authorized_official_first_name": "MARIE",
"authorized_official_middle_name": "TENIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "862-218-9941"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.