Provider Demographics
NPI:1376212431
Name:NIAGARA HOME CARE SOLUTION LLC
Entity Type:Organization
Organization Name:NIAGARA HOME CARE SOLUTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWNE
Authorized Official - Suffix:
Authorized Official - Credentials:MANAGING MEMBER
Authorized Official - Phone:612-913-2409
Mailing Address - Street 1:219 MAIN AVE W
Mailing Address - Street 2:
Mailing Address - City:WEST FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58078-1715
Mailing Address - Country:US
Mailing Address - Phone:701-850-0709
Mailing Address - Fax:701-566-8913
Practice Address - Street 1:219 MAIN AVE W
Practice Address - Street 2:
Practice Address - City:WEST FARGO
Practice Address - State:ND
Practice Address - Zip Code:58078-1715
Practice Address - Country:US
Practice Address - Phone:701-850-0709
Practice Address - Fax:701-566-8913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-10
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care