List of QSPs and QSP Agencies

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Ebenezer Foster Home Llc

QSP Number:

1488483

City / State

Horace, North Dakota

Phone Number

701-730-7944

Email

wiltontravers@gmail.com

Preferred Counties

Cass

Approved Services

Community Support Services
Extended Personal Care - Non-Nurse
Homemaker Service [Rate: 7.14]
Non-Medical Transportation (Escort) [Rate: 7.14]
One Time Transition Costs
Personal Care Service - Unit Rate [Rate: 7.93]
Personal Care Service/Waiver - Unit Rate [Rate: 9.59]
Residential Habilitation [Rate: 40.97]
Respite Care [Rate: 7.93]
Supervision [Rate: 7.14]
Transition Coordination [Rate: 11.92]

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

6706 71st Ave S
Horace, North Dakota 58047

Mailing Address

6706 71st Ave S
Horace, North Dakota 58047