Provider Demographics
NPI:1760547483
Name:DESIGNER CARE CO., LTD.
Entity Type:Organization
Organization Name:DESIGNER CARE CO., LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:DESEYN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-886-7778
Mailing Address - Street 1:474 MAIN AVE
Mailing Address - Street 2:PO BOX 83
Mailing Address - City:NECHE
Mailing Address - State:ND
Mailing Address - Zip Code:58265
Mailing Address - Country:US
Mailing Address - Phone:701-886-7778
Mailing Address - Fax:701-886-7797
Practice Address - Street 1:474 MAIN AVE
Practice Address - Street 2:
Practice Address - City:NECHE
Practice Address - State:ND
Practice Address - Zip Code:58265
Practice Address - Country:US
Practice Address - Phone:701-886-7778
Practice Address - Fax:701-886-7797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND0702850001Medicare NSC