Provider Demographics
NPI:1194122747
Name:ACCURATE HOME CARE OF NORTH DAKOTA, LLC
Entity type:Organization
Organization Name:ACCURATE HOME CARE OF NORTH DAKOTA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:LUNDSTROM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-633-3800
Mailing Address - Street 1:9000 QUANTRELLE AVE NE
Mailing Address - Street 2:
Mailing Address - City:OTSEGO
Mailing Address - State:MN
Mailing Address - Zip Code:55330
Mailing Address - Country:US
Mailing Address - Phone:763-633-3800
Mailing Address - Fax:763-633-3808
Practice Address - Street 1:825 28TH ST. S STE A
Practice Address - Street 2:UNIT A
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-2325
Practice Address - Country:US
Practice Address - Phone:701-232-1245
Practice Address - Fax:701-232-0813
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACCURATE HOME CARE HOLDINGS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-11-25
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
ND251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health