Active NPI
Dakota Reliance Home Care
- Community/Behavioral Health Agency
- Mandan, ND
National Provider Identifier
1902615792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- DAKOTA RELIANCE HOME CARE
- Practice address
- 4704 Central Bay Dr
Mandan, ND 58554-6250 - Phone
- (701) 934-7055
- NPI assigned
- Jan 6, 2025
- Last updated
- Jan 6, 2025
- 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
- Winston Dacolo Kotee
- Title
- Ceo
- Phone
- (701) 934-7055
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
4704 Central Bay Dr
Mandan, ND 58554-6250
Mailing address
4704 Central Bay Dr
Mandan, ND 58554-6250
Phone (701) 934-7055
National Provider Directory
National Provider Directory- Tax ID family
- Dakota Reliance Home Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Mandan, ND
- NPI 1780363879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736121600000",
"number": "1902615792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4704 CENTRAL BAY DR",
"city": "MANDAN",
"state": "ND",
"postal_code": "585546250",
"telephone_number": "701-934-7055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4704 CENTRAL BAY DR",
"city": "MANDAN",
"state": "ND",
"postal_code": "585546250",
"telephone_number": "701-934-7055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAKOTA RELIANCE HOME CARE",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-06",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A",
"authorized_official_last_name": "KOTEE",
"authorized_official_first_name": "WINSTON",
"authorized_official_middle_name": "DACOLO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "701-934-7055"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mandan, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.