VILLA NAZARETH NPI 1326215377

NPI Information

NPI: 1326215377
Provider Name: VILLA NAZARETH

Doing Business As: FRIENDSHIP INC

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
1635 34TH AVE S
FARGO, ND
ZIP 58104
Phone: (701) 280-9750
Get Directions

VILLA NAZARETH is an intermediate care facility mentally retarded in Fargo, ND. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. VILLA NAZARETH NPI is 1326215377. The provider is registered as an organization entity type.
The provider Is Doing Business As Friendship Inc.

The provider's business location address is:

1635 34TH AVE S
FARGO, ND
ZIP 58104-123
Phone: (701) 280-9750
Fax: (701) 232-6021

The provider's authorized official is Dave Keeler .
The authorized official title is Cfo and has the following contact phone number (701) 235-8217.

The enumeration date for this NPI number is 5/9/2008 and was last updated on 5/9/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		30843	NORTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	30843	MEDICAID	NORTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »