DAKOTA PREMIER HOME CARE
NPI 1043866015
Home Health in Mandan, ND

Active since August 14, 2019
2108 EASTBAY DR SE, MANDAN, ND 58554(646) 427-6612 Get Directions Write a Review

NPPES record last updated: August 14, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dakota Premier Home Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAKOTA PREMIER HOME CARE (NPI 1043866015), doing business as Dakota Premier Home Care Llc, is a healthcare organization registered as a home health in Mandan, North Dakota and active in the NPI registry since August 2019. The organization lists Roberta Korkor Garnett-momo, Director Of Nursing, as its authorized official.

NPPES Registry Identity

NPI1043866015
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameDAKOTA PREMIER HOME CARE
Location Address2108 EASTBAY DR SEMandan, ND 58554-6271
Mailing Address2108 Eastbay Dr SeMandan, ND 58554-6271 · (646) 427-6612
Organization SubpartNo
Authorized OfficialRoberta Korkor Garnett-momoDirector Of Nursing · (701) 390-0168
Enumeration DateAugust 14, 2019
NPI 1043866015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
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.
2108 EASTBAY DR SE, Mandan, ND 58554

Other Names 1

Former Legal Business NameDakota Premier Home Care Llc

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Non-emergency Medical Transport (VAN)
2108 EASTBAY DR SE
MANDAN, ND 58554
Nurse's Aide
2108 EASTBAY DR SE
MANDAN, ND 58554

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dakota Premier Home Care's NPI number?

The NPI number for Dakota Premier Home Care is 1043866015. It was assigned to this organization in the NPPES registry on August 14, 2019. The provider was formerly known as Dakota Premier Home Care LLC.

Where is Dakota Premier Home Care located?

Dakota Premier Home Care is located at 2108 Eastbay Dr SE, Mandan, ND 58554. The listed phone number is (646) 427-6612.

What is Dakota Premier Home Care's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Dakota Premier Home Care was last updated on August 14, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.