Organization Active NPI

Emma-Providence LLC

  • In Home Supportive Care Agency
  • Fargo, ND
National Provider Identifier
1821914540
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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 Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.