Provider Demographics
NPI:1255120143
Name:HOMER HEALTH CARE SERVICES LLC
Entity type:Organization
Organization Name:HOMER HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DARLINGSTON
Authorized Official - Middle Name:M
Authorized Official - Last Name:CUMMINGS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:176-377-7181
Mailing Address - Street 1:1648 10TH ST W
Mailing Address - Street 2:
Mailing Address - City:WEST FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58078-3242
Mailing Address - Country:US
Mailing Address - Phone:763-777-1810
Mailing Address - Fax:763-777-1810
Practice Address - Street 1:1648 10TH ST W
Practice Address - Street 2:
Practice Address - City:WEST FARGO
Practice Address - State:ND
Practice Address - Zip Code:58078-3242
Practice Address - Country:US
Practice Address - Phone:763-777-1810
Practice Address - Fax:763-777-1810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care