Jalidia Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

JALIDIA HOME CARE LLC

Practice address

3514 28TH Ave S Apt 204
Fargo, ND 58103-6204

Phone

(215) 817-3981

NPI assigned

Mar 5, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tita Smith

Title

Owner

Phone

(215) 817-3981

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1992390546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3514 28TH AVE S APT 204",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036204",
            "telephone_number": "215-817-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 28TH AVE S APT 204",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036204",
            "telephone_number": "215-817-3981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JALIDIA HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-817-3981"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan D Jagim, PHD
• Carol Ann Jahner, RN
• Marissa Jahnke
• Alan Peter Jakubowski, M.D.
• Alfred Zagba Jalarue
• Brianna Jallo, MS CF-SLP
• Baboucarr Jallow, RN
• Khadra Jama
• James B. Lichtsinn, D.D.S., P.a.
• James F Johnson, MD, PC

• In Home Supportive Care Agency in Fargo, ND
• Providers in Fargo, ND by specialty
• In Home Supportive Care Agency in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.