THE ODD FELLOWS AND REBEKAH HOME OF NORTH DAKOTA INC. (NPI# 1588079156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588079156 |
| Entity Type | Organization |
| Organization Name | THE ODD FELLOWS AND REBEKAH HOME OF NORTH DAKOTA INC. |
| Other Organization Name | ODD FELLOWS HOME |
| Practice Address |
1107 Walnut St E Devils Lake ND 58301-3240 |
| Practice Telephone | 7016623330 |
| Mailing Telephone | 7016623330 |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2014-06-23 |
| Authorized Official Name | MARK ULRICH (ADMINISTRATOR) |
| Authorized Official Telephone | 7016623330 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | 8007 | ND | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 30713 | 05 |
| Other Name | Type Code |
|---|---|
| Odd Fellows Home | Doing Business As Name - Organization |
| Street Address |
1107 WALNUT ST E |
| City | DEVILS LAKE |
| State | ND |
| Zip Code | 58301-3240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187977 | Mark Christian Beatty | Social Worker | 1820 East Walnut Street, Suite 5, Devils Lake, ND 58301 | 2020-06-01 |
| 1841837663 | Wayne Rance | Pharmacist | 323 5th St Ne Ste 2, Devils Lake, ND 58301 | 2019-12-01 |
| 1639427792 | Donna Rance | Pharmacist | Bell Pharmacy 323 5th St Ne, Suite #2, Devils Lake, ND 58301 | 2012-08-21 |
| 1356603997 | Stephanie Ann Foughty | Family Medicine | 1001 7th St Ne Altru Clinic/devlis Lake, Devils Lake, ND 58301 | 2012-06-11 |
| 1245534668 | Altru Specialty Services, Inc. | Durable Medical Equipment & Medical Supplies | 223 4th Avenue Northeast, Suite B, Devils Lake, ND 58301 | 2010-12-28 |
| 1780830208 | Steven L Pederson | Physical Therapist | 404 Fourth Street N, Devils Lake, ND 58301 | 2008-08-15 |
| 1437368768 | Leatha N Vaagen | Physical Therapist | 404 Fourth Street North, Devils Lake, ND 58301 | 2007-05-22 |
| 1770634479 | Becky Fletschock | Pharmacist | Clinic Pharmacy, 1001 7th St Ne, Devils Lake, ND 58301 | 2007-01-16 |
| 1518047570 | The Evangelical Lutheran Good Samaritan Society | Custodial Care Facility | 302 7th Ave, Devils Lake, ND 58301 | 2006-10-16 |
| 1679591929 | Emergency Ambulance of Devils Lake | Ambulance | 314 2nd Ave Se, Devils Lake, ND 58301 | 2006-07-17 |
| Find all providers in zip 58301 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689942609 | The Evangelical Lutheran Good Samaritan Society | Custodial Care Facility | 1332 10th St Ne, Devils Lake, ND 58301-2329 | 2011-12-05 |
| 1518047570 | The Evangelical Lutheran Good Samaritan Society | Custodial Care Facility | 302 7th Ave, Devils Lake, ND 58301 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548803265 | The Baptist Apartments Inc Dba Prairie Pointe | Custodial Care Facility | 3330 Nebraska Dr, Bismarck, ND 58503-1663 | 2019-10-25 |
| 1295142784 | Dakota Hill Housing Corporation | Custodial Care Facility | 606 Dakota St N, Elgin, ND 58533-7157 | 2014-07-16 |
| 1518373224 | St. Anne's Guest Home | Custodial Care Facility | 524 N 17th St, Grand Forks, ND 58203-3085 | 2014-07-02 |
| 1578998753 | Borg Pioneer Memorial Home | Custodial Care Facility | 61 Borg Dr, Mountain, ND 58262-6201 | 2013-09-06 |
| 1487929089 | The Leach Home | Custodial Care Facility | 714 4th St N, Wahpeton, ND 58075-3939 | 2012-03-14 |
| 1134437932 | Golden Manor Inc | Custodial Care Facility | 214 4th Street Nw, Steele, ND 58482-7317 | 2010-09-15 |
| 1831420348 | Sanford-good Samaritan Community Health Services, LLC | Custodial Care Facility | 316 Versailles Ave, Bismarck, ND 58503-0390 | 2010-01-22 |
| 1962673608 | The Evangelical Lutheran Good Samaritan Society | Custodial Care Facility | 4502 37th Ave S, Fargo, ND 58104-7599 | 2008-03-21 |
| 1316143175 | Evergreen Dickinson, LLC | Custodial Care Facility | 2143 6th Ave W, Dickinson, ND 58601-2700 | 2007-06-26 |
| 1245441344 | Walhalla Community Hospital Association | Custodial Care Facility | 500 Delano Ave, Walhalla, ND 58282-4637 | 2007-05-24 |
| Find all providers with the same taxonomy | ||||
| City | DEVILS LAKE |
| Zip Code | 58301 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.