BORG PIONEER MEMORIAL HOME
NPI 1578998753
Custodial Care Facility in Mountain, ND

Active since September 06, 2013CLIA 35D0868583 · Waiver
61 BORG DR, MOUNTAIN, ND 58262(701) 993-8345(701) 993-8620 Get Directions Write a Review

NPPES record last updated: September 6, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Borg Pioneer Memorial Home NPPES

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

BORG PIONEER MEMORIAL HOME (NPI 1578998753) is a healthcare organization registered as a custodial care facility in Mountain, North Dakota and active in the NPI registry since September 2013. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Alyson Olson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1578998753
Entity TypeOrganization
Primary Taxonomy311Z00000X
Legal Business NameBORG PIONEER MEMORIAL HOME
Location Address61 BORG DRMountain, ND 58262-6201
Mailing Address61 Borg DrMountain, ND 58262-6201 · (701) 993-8345 · Fax (701) 993-8620
Fax(701) 993-8620
Organization SubpartNo
Authorized OfficialAlyson OlsonAdministrator · (701) 993-8345
Enumeration DateSeptember 6, 2013
NPI 1578998753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care FacilityNursing & Custodial Care Facilities
Taxonomy Code311Z00000X
Definition

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.

61 BORG DR, Mountain, ND 58262

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 35D0868583

Borg Pioneer Memorial Home · Mountain, ND
Active · expires Aug 31, 2026
CLIA Number35D0868583
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSara Stevenson
Laboratory Phone(701) 993-8345
Laboratory LocationBorg Pioneer Memorial Home61 Borg Drive, Mountain, ND 58262
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578998753, enumerated as an "organization" on September 06, 2013.

The provider is located at 61 BORG DR MOUNTAIN, ND 58262 and the phone number is (701) 993-8345.

Custodial Care Facility with taxonomy code 311Z00000X.