SANFORD BISMARCK NPI 1669555744

NPI Information

NPI: 1669555744
Provider Name: SANFORD BISMARCK
Classification: Home Health - 251E00000X
Entity Type: Organization
Doing Business As: SANFORD HOME CARE
CLIA Number: 35D0674297
Address: 910 18TH ST NW
MANDAN, ND
ZIP 58554
Phone: (701) 323-8400

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NPI Details

SANFORD BISMARCK is a home health in Mandan, ND. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. SANFORD BISMARCK NPI is 1669555744. The provider is registered as an organization entity type.
The provider Is Doing Business As Sanford Home Care.

The provider's business location address is:

910 18TH ST NW
MANDAN, ND
ZIP 58554-612
Phone: (701) 323-8400
Fax: (701) 323-8409

The provider's authorized official is Tony Lee Morrison .
The authorized official title is Vice President, Revenue Cycle and has the following contact phone number (605) 328-8380.

The CLIA number assigned to this NPI record is 35D0674297 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 11/27/2023.

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	251E00000X	Home Health		4004B	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	55368	MEDICAID	NORTH DAKOTA
2	3251	OTHER	NORTH DAKOTA	BLUE CROSS HOME HEALTH
3	039673	OTHER	NORTH DAKOTA	QSP HOME HEALTH AGENCY

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: 11/21/2025

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