Active NPI
Professional Home Care Inc
- Home Health Agency
- Bismarck, ND
National Provider Identifier
1841284353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 4038A
- Legal business name
- PROFESSIONAL HOME CARE INC
- Practice address
- 309 N Mandan St Ste 4
Bismarck, ND 58501-3886 - Phone
- (701) 255-7575
- Fax
- (701) 255-0699
- NPI assigned
- Sep 12, 2005
- Last updated
- Jan 16, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Joann Ferrie
- Title
- Director/Owner
- Phone
- (701) 255-7575
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 4038A | ND | Primary |
Addresses
Primary practice location
309 N Mandan St Ste 4
Bismarck, ND 58501-3886
Mailing address
309 N Mandan St Ste 4
Bismarck, ND 58501-3886
Phone (701) 255-7575
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39486 | Medicaid | ND | |
| 12115 | Other | ND | VETERANS AFFAIRS |
| 3947 | Other | ND | BLUE CROSS |
| 56491 | Medicaid | ND |
National Provider Directory
National Provider DirectoryLocations
309 N Mandan St
Ste 4
Bismarck, ND 58501
Phone (701) 255-7575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326672000000",
"number": "1841284353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 N MANDAN ST STE 4",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585013886",
"telephone_number": "701-255-7575",
"fax_number": "701-255-0699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 N MANDAN ST STE 4",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585013886",
"telephone_number": "701-255-7575",
"fax_number": "701-255-0699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL HOME CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-12",
"last_updated": "2012-01-16",
"status": "A",
"authorized_official_last_name": "FERRIE",
"authorized_official_first_name": "JOANN",
"authorized_official_title_or_position": "DIRECTOR/OWNER",
"authorized_official_telephone_number": "701-255-7575",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "ND",
"license": "4038A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39486",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VETERANS AFFAIRS",
"identifier": "12115",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "3947",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "56491",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.