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
Jessica Nelson
QSP Number:
1478157
City / State
Towner, North Dakota
Phone Number
701-500-2966
Preferred Counties
Bottineau, McHenry, Pierce, Ward
Approved Services
- Adult Foster Care [Rate: 157.59]
- Companionship Services [Rate: 5.20]
- Extended Personal Care - Non-Nurse [Rate: 5.77]
- Homemaker Service [Rate: 5.20]
- Non-Medical Transportation (Escort) [Rate: 5.20]
- Personal Care Service - Daily Rate [Rate: 87.76]
- Personal Care Service - Unit Rate [Rate: 5.77]
- Personal Care Service/Waiver - Unit Rate [Rate: 5.86]
- Respite Care [Rate: 5.77]
- Supervision [Rate: 5.20]
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
5821 Prairie View Rd
Towner, North Dakota 58788
Mailing Address
5821 Prairie View Rd
Towner, North Dakota 58788