Rose Michelle Burcham-Lafountain
Individual provider Active NPI Personal Care Attendant · Mandan, ND
NPI 1831860113 · NPPES record last updated Sep 25, 2021
Key facts
- NPI
- 1831860113
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- License
- 69350 (ND)
- Practice address
- 1010 1St St SE Lot 19
Mandan, ND 58554-4481 - Phone
- (701) 550-9854
- NPI assigned
- Sep 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69350 | ND | MD | Personal Care Attendant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 69350 | ND | Yes |
Addresses
Primary practice location
1010 1St St SE Lot 19
Mandan, ND 58554-4481
Mailing address
PO Box 904
Mandan, ND 58554-0904
Phone (701) 550-9854
Other providers in Mandan, ND
- Mary Brown
- Katrin Brianne Brucker
- Amanda Brumfield
- Amy Bullinger
- Stacy Bullinger
- Nicole Burke
- Heather Burnley
- Caring for Tired Hands Home Care, LLC
- Gina Carlson
- Sylvia Carlson
All providers in Mandan, ND · Personal Care Attendant in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.