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SOUTHEAST HUMAN SERVICE CENTER
NPI 1922055243
Day Training, Developmentally Disabled Services in Fargo, ND

Active since May 30, 2006
2624 9TH AVE S, FARGO, ND 58103(701) 298-4500 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southeast Human Service Center NPPES

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

SOUTHEAST HUMAN SERVICE CENTER (NPI 1922055243) is a healthcare organization registered as a day training, developmentally disabled services in Fargo, North Dakota and active in the NPI registry since May 2006. The organization lists Candace Cae Fuglesten, Director, as its authorized official.

NPPES Registry Identity

NPI1922055243
Entity TypeOrganization
Primary Taxonomy251C00000X
Legal Business NameSOUTHEAST HUMAN SERVICE CENTER
Location Address2624 9TH AVE SFargo, ND 58103-2350
Mailing Address2624 9th Ave SFargo, ND 58103-2350
Phone(701) 298-4500
Organization SubpartNo
Authorized OfficialCandace Cae FuglestenDirector · (701) 298-4500
Enumeration DateMay 30, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1922055243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies
Taxonomy Code251C00000X
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
2624 9TH AVE S, Fargo, ND 58103
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Other Identifiers 1

Medicaid035434ND

Other Providers at the Same Location NPPES 20

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

JENNY WEST
Specialist
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 298-4500
SHAYLA ZASTE TCM
Case Manager/Care Coordinator
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 595-4861
DETON HART
Counselor (Professional)
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 298-4500
VALENTINA B ASIEDU MPH, CHES
Case Manager/Care Coordinator
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 298-4959
MS. SARA L NICOLI M.ED, LAC
Counselor (Addiction (Substance Use Disorder))
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 298-4500
DALE A CARRIER LPCC
Counselor
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 298-4500
JENNIFER LEONE MULLEN LSW
Social Worker
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 298-4500
TRACY DIEDRICH
Case Manager/Care Coordinator
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 298-4500

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 Southeast Human Service Center's NPI number?

The NPI number for Southeast Human Service Center is 1922055243. It was assigned to this organization in the NPPES registry on May 30, 2006.

Where is Southeast Human Service Center located?

Southeast Human Service Center is located at 2624 9th Ave S, Fargo, ND 58103. The listed phone number is (701) 298-4500.

What is Southeast Human Service Center's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Southeast Human Service Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.