Villa Nazareth in Fargo - Intermediate Care Facility, Intellectual Disabilities
Villa Nazareth - NPI 1417124462
Villa Nazareth is a Intermediate Care Facility, Intellectual Disabilities in Fargo, North Dakota. Villa Nazareth practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Villa Nazareth is 1417124462. The last update date is 2008-05-09.
Villa Nazareth's current location address is 2424 18th St S, Fargo, North Dakota. You can contact this provider via phone number 7012936180 and fax number 7012326104. The mailing address for Villa Nazareth is 2424 18th St S, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Villa Nazareth |
|---|---|
| Address | 2424 18th St S, Fargo, North Dakota |
| Phone Number | 7012936180 |
| Fax Number | 7012326104 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Keeler Dave |
| Telephone Number | 7012358217 |
NPI Number Detail
| NPI Number | 1417124462 |
|---|---|
| Provider Enumeration Date | 2008-05-09 |
| Last Updated Date | 2008-05-09 |
Provider Mailing Address Detail
| Address | 2424 18th St S |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581035110 |
| Phone Number | 7012936180 |
| Fax Number | 7012326104 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 30824 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30824 | ND | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Villa Nazareth?
The Villa Nazareth has been issued the NPI (National Provider Identifier) 1417124462 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Villa Nazareth is located?
The Villa Nazareth is situated at the following address: 2424 18Th St S, Fargo, ND, 581035110.
What is Villa Nazareth's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Villa Nazareth is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy code that categorizes this field of expertise is 315P00000X.
When was the Villa Nazareth's 1417124462 issued?
The Villa Nazareth's 1417124462 was issued on 2008-05-09.
As of what date was the information pertaining to Villa Nazareth, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Villa Nazareth, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-05-09.