Provider Type
Approved Services
Counties
State
List of QSPs and QSP Agencies
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Alfonso Dormu
QSP Number:
1493871
City / State
West Fargo, North Dakota
Phone Number
7013677111
Preferred Counties
Adams, Barnes, Benson, Billings, Bottineau, Bowman, Burke, Burleigh, Cass, Cavalier, Dickey, Divide, Dunn, Eddy, Emmons, Foster, Golden Valley, Grand Forks, Grant, Griggs, Hettinger, Kidder, Lamoure, Logan, McHenry, McIntosh, McKenzie, McLean, Mercer, Morton, Mountrail, Nelson, Oliver, Pembina, Pierce, Ramsey, Ransom, Renville, Richland, Rolette, Sargent, Sheridan, Sioux, Slope, Stark, Steele, Stutsman, Towner, Traill, Walsh, Ward, Wells, Williams
Approved Services
- Chore - Job
- Chore - Labor [Rate: 5.77]
- Chore - Lawn Care [Rate: 5.77]
- Chore - Snow Removal [Rate: 5.77]
- Extended Personal Care - Non-Nurse [Rate: 5.77]
- Homemaker Service [Rate: 5.20]
- Non-Medical Transportation (Escort) [Rate: 5.20]
- Non-Medical Transportation (Local-OOT Driver) [Rate: 9.29]
- Personal Care Service - Daily Rate [Rate: 87.76]
- Personal Care Service - Unit Rate [Rate: 5.77]
- Personal Care Service/Waiver - Daily Rate [Rate: 5.86]
- Personal Care Service/Waiver - Unit Rate [Rate: 5.86]
- Respite Care - Family Caregiver [Rate: 5.77]
Endorsements
- Catheter Care
- Cognitive/Supervision
- Exercise/Maintenance
- Hoyer Lift/Mechanized Bath Chair
- Medical Gases – Limited to oxygen
- Prosthesis / Orthotics/Adaptive Devices
- Suppository – Non-prescription
- Ted Stockings (surgical stockings)
- Temperature, Blood Pressure, Pulse, Respiration Rate
Physical Address
2703 14th St W
West Fargo, North Dakota 58078
Mailing Address
2703 14th St W
West Fargo, North Dakota 58078
Community Options
QSP Number:
1456666
City / State
Bismarck, North Dakota
Phone Number
701-223-2417
Preferred Counties
Barnes, Burleigh, Cass, Grand Forks, Hettinger, Morton, Stark, Stutsman
Approved Services
- Chore - Labor [Rate: 9.59]
- Community Support Services
- Companionship Services [Rate: 7.14]
- Homemaker Service [Rate: 9.59]
- Non-Medical Transportation (Escort) [Rate: 9.28]
- Non-Medical Transportation (Local-OOT Driver)
- Personal Care Service - Unit Rate [Rate: 9.59]
- Personal Care Service/Waiver - Unit Rate [Rate: 9.59]
- Residential Habilitation
- Respite Care [Rate: 7.93]
- Respite Care - Family Caregiver
- Supervision [Rate: 9.28]
- Supported Employment [Rate: 7.93]
Endorsements
- Catheter Care
- Cognitive/Supervision
- Exercise/Maintenance
- Hoyer Lift/Mechanized Bath Chair
- Medical Gases – Limited to oxygen
- Prosthesis / Orthotics/Adaptive Devices
- Suppository – Non-prescription
- Ted Stockings (surgical stockings)
- Temperature, Blood Pressure, Pulse, Respiration Rate
Physical Address
4909 Shelburne St
Bismarck, North Dakota 58503
Mailing Address
4909 Shelburne St
Bismarck, North Dakota 58503