Organization · Type 2 NPI

Villa Maria

Skilled Nursing Facility · Fargo, ND

NPI number 1144485608 Active

Practice location

3102 University Dr S
Fargo, ND 58103-6004

Fax (701) 293-5845

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	1023B (ND)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

4 other providers at this address

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NPI record

NPI: 1144485608
Entity type: Organization (Type 2)
Issued: Jul 24, 2008
Last updated: Apr 16, 2021
Status: Active
Subpart: Yes of Sisters of Mary of the Presentation Long Term Care

Other names

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Villa Maria Adult Daycare · doing business as
Villa Maria Adult Daycare · doing business as

Authorized official

Meldine Kay Tang
Chief Financial Officer
(701) 277-7999

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1144485608

Villa Maria's National Provider Identifier is 1144485608, issued on Jul 24, 2008. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Fargo, ND. The record was last updated on Apr 16, 2021.