ODD FELLOWS HOME
NPI 1588079156
Custodial Care Facility in Devils Lake, ND

Q: What is The Odd Fellows And Rebekah Home Of North Dakota Inc.'s specialty?

The primary specialty registered for this NPI is Custodial Care Facility with taxonomy code 311Z00000X.

Active since June 23, 2014CLIA 35D1004398 · Waiver

1107 WALNUT ST E, DEVILS LAKE, ND 58301(701) 662-3330 Get Directions Write a Review

NPPES record last updated: June 23, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Odd Fellows Home NPPES

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

ODD FELLOWS HOME (NPI 1588079156) is a healthcare organization registered as a custodial care facility in Devils Lake, North Dakota and active in the NPI registry since June 2014. The organization holds a CLIA Waiver certificate valid through September 24, 2026 and lists Mark Ulrich, Administrator, as its authorized official.

NPPES Registry Identity

NPI1588079156

Entity TypeOrganization

Primary Taxonomy311Z00000X

Legal Business NameTHE ODD FELLOWS AND REBEKAH HOME OF NORTH DAKOTA INC.

Location Address1107 WALNUT ST EDevils Lake, ND 58301-3240

Mailing Address1107 Walnut St EDevils Lake, ND 58301-3240 · (701) 662-3330

Phone(701) 662-3330

Organization SubpartNo

Authorized OfficialMark UlrichAdministrator · (701) 662-3330

Enumeration DateJune 23, 2014

✔ NPI 1588079156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care FacilityNursing & Custodial Care Facilities

Taxonomy Code311Z00000X

License✔ Licensed in ND · 8007

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.

1107 WALNUT ST E, Devils Lake, ND 58301

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Other Names 1

Doing Business AsOdd Fellows Home

Other Identifiers 1

Medicaid30713ND

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 35D1004398

Odd Fellows Home · Devils Lake, ND

Active · expires Sep 24, 2026

CLIA Number35D1004398

Laboratory TypeOther

Certificate Effective DateSeptember 25, 2024

Certificate Expiration DateSeptember 24, 2026

Laboratory DirectorMark E. Ulrich

Laboratory Phone(701) 662-3330

Laboratory LocationOdd Fellows Home1107 Walnut St E, Devils Lake, ND 58301

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 NPPES & CMS

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

What is The Odd Fellows And Rebekah Home Of North Dakota Inc.'s NPI number?

The NPI number for The Odd Fellows And Rebekah Home Of North Dakota Inc. is 1588079156. It was assigned to this organization in the NPPES registry on June 23, 2014. The provider is doing business as Odd Fellows Home.

Where is The Odd Fellows And Rebekah Home Of North Dakota Inc. located?

The Odd Fellows And Rebekah Home Of North Dakota Inc. is located at 1107 Walnut St E, Devils Lake, ND 58301. The listed phone number is (701) 662-3330.

What is The Odd Fellows And Rebekah Home Of North Dakota Inc.'s specialty?

The primary specialty registered for this NPI is Custodial Care Facility with taxonomy code 311Z00000X.

Does The Odd Fellows And Rebekah Home Of North Dakota Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D1004398) is associated with this NPI, valid through September 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for The Odd Fellows And Rebekah Home Of North Dakota Inc. was last updated on June 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.