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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

Alice Lilley

QSP Number:

1493360

City / State

Dunseith, North Dakota

Phone Number

7013897342

Preferred Counties

Rolette

Approved Services

  • 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]

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

113 3rd St Sw
Dunseith, North Dakota 58329

Mailing Address

Po Box 41
Dunseith, North Dakota 58329

Angelaure Schyma

QSP Number:

1496767

City / State

Fargo, North Dakota

Phone Number

7014014414

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 - Labor [Rate: 5.89]
  • Chore - Lawn Care [Rate: 5.89]
  • Chore - Snow Removal [Rate: 5.89]
  • Companionship Services [Rate: 5.30]
  • Extended Personal Care - Nurse [Rate: 14.28]
  • Homemaker Service [Rate: 5.30]
  • Non-Medical Transportation (Escort) [Rate: 5.30]
  • Non-Medical Transportation (Local-OOT Driver) [Rate: 9.48]
  • Nurse Education [Rate: 14.28]
  • Personal Care Service - Daily Rate [Rate: 89.52]
  • Personal Care Service - Unit Rate [Rate: 5.89]
  • Personal Care Service/Waiver - Daily Rate [Rate: 5.98]
  • Personal Care Service/Waiver - Unit Rate [Rate: 5.98]
  • Respite Care [Rate: 5.89]
  • Supervision [Rate: 5.30]
  • Transition Coordination [Rate: 12.16]

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

3003 32nd Ave S Ste 240
Fargo, North Dakota 58103

Mailing Address

1832 Assumption Dr
Bismarck, North Dakota 58501

Breanna Wallette

QSP Number:

1498321

City / State

Belcourt, North Dakota

Phone Number

7012780728

Preferred Counties

Rolette

Approved Services

  • Homemaker Service [Rate: 6.84]
  • Non-Medical Transportation (Escort) [Rate: 6.63]
  • Non-Medical Transportation (Local-OOT Driver) [Rate: 9.48]
  • Personal Care Service - Daily Rate [Rate: 89.52]
  • Personal Care Service - Unit Rate [Rate: 6.84]
  • Personal Care Service/Waiver - Daily Rate [Rate: 5.98]
  • Personal Care Service/Waiver - Unit Rate [Rate: 6.84]

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

10017 Bia Rd 9
Belcourt, North Dakota 58316

Mailing Address

Po Box 52
Belcourt, North Dakota 58316

Chasity Dixon

QSP Number:

1490458

City / State

Rolla, North Dakota

Phone Number

7703245911

Preferred Counties

Rolette, Towner

Approved Services

  • Companionship Services [Rate: 7.14]
  • Extended Personal Care - Non-Nurse [Rate: 5.77]
  • Homemaker Service [Rate: 7.14]
  • Non-Medical Transportation (Escort) [Rate: 7.14]
  • Non-Medical Transportation (Local-OOT Driver) [Rate: 9.29]
  • Personal Care Service - Daily Rate [Rate: 87.76]
  • Personal Care Service - Unit Rate [Rate: 7.93]
  • Personal Care Service/Waiver - Daily Rate [Rate: 5.86]
  • Personal Care Service/Waiver - Unit Rate [Rate: 8.05]
  • Respite Care [Rate: 7.93]
  • Supervision [Rate: 7.14]

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

513 2nd St Ne
Rolla, North Dakota 58367

Mailing Address

Po Box 666
Rolla, North Dakota 58367

Circle Of Life Kola Home Care Llc

QSP Number:

1454061

City / State

Fort Yates, North Dakota

Phone Number

952-600-5572

Preferred Counties

Barnes, Benson, Burleigh, Cass, Eddy, Grant, Morton, Nelson, Ramsey, Rolette, Sioux, Stutsman

Approved Services

  • Companionship Services [Rate: 9.28]
  • Homemaker Service [Rate: 7.14]
  • One Time Transition Costs
  • Personal Care Service - Unit Rate [Rate: 7.93]
  • Personal Care Service/Waiver - Unit Rate [Rate: 9.59]

Endorsements

  • Cognitive/Supervision

Physical Address

9299 Hwy 24 Ste 131
Fort Yates, North Dakota 58538

Mailing Address

4100 Lexington Ave N Ste 150
St Paul, Minnesota 55126

Danielle Brunelle

QSP Number:

1495993

City / State

Belcourt, North Dakota

Phone Number

7013826470

Preferred Counties

Rolette

Approved Services

  • Chore - Job [Rate: 5.77]
  • Chore - Labor [Rate: 5.77]
  • Chore - Lawn Care [Rate: 5.77]
  • Chore - Snow Removal [Rate: 5.77]
  • Homemaker Service [Rate: 5.20]
  • Non-Medical Transportation (Escort) [Rate: 5.20]
  • Non-Medical Transportation (Local-OOT Driver)
  • 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]

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

163-b Cuthbert Grant
Belcourt, North Dakota 58316

Mailing Address

Po Box 181
Belcourt, North Dakota 58316

Desiree Davis

QSP Number:

1452360

City / State

Dunseith, North Dakota

Phone Number

7018717020

Preferred Counties

Rolette

Approved Services

  • Chore - Labor [Rate: 5.77]
  • Extended Personal Care - Nurse [Rate: 14.00]
  • 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]

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

512 1 St Ne
Dunseith, North Dakota 58329

Mailing Address

Po Box 1313
Dunseith, North Dakota 58329

Donna Hebert

QSP Number:

1494952

City / State

Minot, North Dakota

Phone Number

7015099322

Preferred Counties

Benson, Bottineau, Burke, Divide, McHenry, Mountrail, Pierce, Renville, Rolette, Towner, Ward, Williams

Approved Services

  • Chore - Job
  • Chore - Labor [Rate: 5.89]
  • Chore - Lawn Care [Rate: 5.89]
  • Chore - Snow Removal [Rate: 5.89]
  • Companionship Services [Rate: 5.30]
  • Extended Personal Care - Non-Nurse [Rate: 5.89]
  • Homemaker Service [Rate: 5.30]
  • Non-Medical Transportation (Escort) [Rate: 5.30]
  • Non-Medical Transportation (Local-OOT Driver) [Rate: 9.48]
  • Personal Care Service - Daily Rate [Rate: 89.52]
  • Personal Care Service - Unit Rate [Rate: 5.89]
  • Personal Care Service/Waiver - Daily Rate [Rate: 5.98]
  • Personal Care Service/Waiver - Unit Rate [Rate: 5.98]
  • Respite Care [Rate: 5.89]
  • Respite in an Adult Foster Care [Rate: 5.89]
  • Supervision [Rate: 5.30]

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

13001 2nd St Nw
Lot 78
Minot, North Dakota 58703

Mailing Address

13001 2nd St Nw
Lot 78
Minot, North Dakota 58703

Jailey Falcon

QSP Number:

1496924

City / State

Belcourt, North Dakota

Phone Number

7014779889

Preferred Counties

Rolette

Approved Services

  • Chore - Labor [Rate: 5.89]
  • Chore - Lawn Care [Rate: 5.89]
  • Chore - Snow Removal [Rate: 5.89]
  • Companionship Services [Rate: 5.30]
  • Extended Personal Care - Non-Nurse [Rate: 5.89]
  • Homemaker Service [Rate: 5.30]
  • Non-Medical Transportation (Escort) [Rate: 5.30]
  • Personal Care Service - Daily Rate [Rate: 89.52]
  • Personal Care Service - Unit Rate [Rate: 5.89]
  • Personal Care Service/Waiver - Daily Rate [Rate: 5.98]
  • Personal Care Service/Waiver - Unit Rate [Rate: 5.98]
  • Respite Care [Rate: 5.89]
  • Supervision [Rate: 5.30]

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

10080 Bia Road 5
Belcourt, North Dakota 58316

Mailing Address

10080 Bia Road 5
Belcourt, North Dakota 58316

Lane Houle Allery

QSP Number:

1488218

City / State

Belcourt, North Dakota

Phone Number

7012782339

Preferred Counties

Pierce, Rolette

Approved Services

  • Chore - Labor [Rate: 5.77]
  • 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]
  • 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]
  • 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

10219 43rd Ave Ne
Belcourt, North Dakota 58316

Mailing Address

10219 43rd Ave Ne
Belcourt, North Dakota 58316

Lori Barton

QSP Number:

1496482

City / State

Kenmare, North Dakota

Phone Number

7013349638

Preferred Counties

Bottineau, Burke, Divide, Dunn, McHenry, McKenzie, McLean, Mercer, Mountrail, Pierce, Renville, Rolette, Sheridan, Ward, Williams

Approved Services

  • Chore - Labor [Rate: 5.89]
  • Chore - Lawn Care [Rate: 5.89]
  • Chore - Snow Removal [Rate: 5.89]
  • Companionship Services [Rate: 5.30]
  • Extended Personal Care - Non-Nurse [Rate: 5.89]
  • Homemaker Service [Rate: 5.30]
  • Non-Medical Transportation (Escort) [Rate: 5.30]
  • Non-Medical Transportation (Local-OOT Driver) [Rate: 9.48]
  • Personal Care Service - Daily Rate [Rate: 89.52]
  • Personal Care Service - Unit Rate [Rate: 5.89]
  • Personal Care Service/Waiver - Daily Rate [Rate: 5.98]
  • Personal Care Service/Waiver - Unit Rate [Rate: 5.98]
  • Respite Care [Rate: 5.89]
  • Supervision [Rate: 5.30]

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

59321 431st Ave Nw
Kenmare, North Dakota 58746

Mailing Address

59321 431st Ave Nw
Kenmare, North Dakota 58746

Melissa Laducer-speers

QSP Number:

1475276

City / State

Grand Forks, North Dakota

Phone Number

7012101259

Preferred Counties

Grand Forks, Rolette

Approved Services

  • Chore - Labor [Rate: 5.89]
  • Chore - Lawn Care [Rate: 5.89]
  • Chore - Snow Removal [Rate: 5.89]
  • Companionship Services [Rate: 5.20]
  • Extended Personal Care - Non-Nurse [Rate: 5.89]
  • Homemaker Service [Rate: 5.30]
  • Non-Medical Transportation (Escort) [Rate: 5.30]
  • Non-Medical Transportation (Local-OOT Driver) [Rate: 9.48]
  • Personal Care Service - Daily Rate [Rate: 89.52]
  • Personal Care Service - Unit Rate [Rate: 5.89]
  • Personal Care Service/Waiver - Daily Rate [Rate: 5.98]
  • Personal Care Service/Waiver - Unit Rate [Rate: 5.98]
  • 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

1810 7th Ave N
Grand Forks, North Dakota 58203

Mailing Address

1810 7th Ave N
Grand Forks, North Dakota 58203

Munah Tarr

QSP Number:

1496232

City / State

Jamestown, North Dakota

Phone Number

7013204460

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

  • Companionship Services [Rate: 5.20]
  • Extended Personal Care - Non-Nurse
  • Homemaker Service [Rate: 5.20]
  • Non-Medical Transportation (Escort) [Rate: 5.20]
  • Non-Medical Transportation (Local-OOT Driver)
  • 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 [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

109 6th St Nw
Jamestown, North Dakota 58401

Mailing Address

109 6th St Nw
Jamestown, North Dakota 58401

Rhea Greenwood

QSP Number:

1496856

City / State

Grand Forks, North Dakota

Phone Number

7017396851

Preferred Counties

Bottineau, Burleigh, Grand Forks, Rolette, Towner

Approved Services

  • Chore - Labor [Rate: 5.89]
  • Chore - Snow Removal [Rate: 5.89]
  • Homemaker Service [Rate: 5.30]
  • Non-Medical Transportation (Local-OOT Driver) [Rate: 9.29]
  • Personal Care Service - Daily Rate [Rate: 89.52]
  • Personal Care Service - Unit Rate [Rate: 5.89]
  • Personal Care Service/Waiver - Daily Rate [Rate: 5.98]
  • Personal Care Service/Waiver - Unit Rate [Rate: 5.98]

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

3920 Gardenview Dr
Apt 204
Grand Forks, North Dakota 58201

Mailing Address

3920 Gardenview Dr
Apt 204
Grand Forks, North Dakota 58201

Ronette Azure

QSP Number:

1495676

City / State

Belcourt, North Dakota

Phone Number

7019537387

Preferred Counties

Rolette

Approved Services

  • 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 - Daily Rate [Rate: 5.86]
  • Personal Care Service/Waiver - Unit Rate [Rate: 5.86]

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

4461 Bia Road 10
# 990
Belcourt, North Dakota 58316

Mailing Address

Po Box 1465
# 990
Belcourt, North Dakota 58316

Ruby Blue

QSP Number:

1497746

City / State

Belcourt, North Dakota

Phone Number

7012783742

Preferred Counties

Bottineau, Rolette

Approved Services

  • Personal Care Service - Daily Rate [Rate: 89.52]
  • Personal Care Service - Unit Rate [Rate: 5.89]
  • Personal Care Service/Waiver - Daily Rate [Rate: 5.98]
  • Personal Care Service/Waiver - Unit Rate [Rate: 5.98]

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

9862 46th Ave Ne
Belcourt, North Dakota 58316

Mailing Address

Po Box 1241
Belcourt, North Dakota 58316

Sara Hess

QSP Number:

1496334

City / State

Minot, North Dakota

Phone Number

7017211163

Preferred Counties

Barnes, Benson, Billings, Bottineau, Burke, Burleigh, Cass, Cavalier, Divide, Dunn, Eddy, Foster, Golden Valley, Grand Forks, Griggs, Kidder, McHenry, McKenzie, McLean, Mercer, Morton, Mountrail, Nelson, Oliver, Pembina, Pierce, Ramsey, Renville, Rolette, Sheridan, Stark, Steele, Stutsman, Towner, Traill, Walsh, Ward, Wells, Williams

Approved Services

  • Chore - Labor [Rate: 5.77]
  • Chore - Lawn Care [Rate: 5.77]
  • Chore - Snow Removal [Rate: 5.77]
  • 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]
  • 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 [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

813 20th St Nw
Minot, North Dakota 58703

Mailing Address

813 20th St Nw
Minot, North Dakota 58703

Sarah Wootan

QSP Number:

1497416

City / State

Belcourt, North Dakota

Phone Number

7014722542

Preferred Counties

Rolette

Approved Services

  • Chore - Labor [Rate: 5.89]
  • Chore - Lawn Care [Rate: 5.89]
  • Chore - Snow Removal [Rate: 5.89]
  • Extended Personal Care - Non-Nurse [Rate: 5.89]
  • Homemaker Service [Rate: 5.30]
  • Non-Medical Transportation (Escort) [Rate: 5.30]
  • Non-Medical Transportation (Local-OOT Driver) [Rate: 9.48]
  • Personal Care Service - Daily Rate [Rate: 89.52]
  • Personal Care Service - Unit Rate [Rate: 5.89]
  • Personal Care Service/Waiver - Daily Rate [Rate: 5.98]
  • Personal Care Service/Waiver - Unit Rate [Rate: 5.98]

Endorsements

  • Cognitive/Supervision
  • Exercise/Maintenance
  • Suppository – Non-prescription
  • Temperature, Blood Pressure, Pulse, Respiration Rate

Physical Address

3878 Hw 281
548
Belcourt, North Dakota 58316

Mailing Address

3878 Hw 281
548
Belcourt, North Dakota 58316

Shawana Grant

QSP Number:

1495681

City / State

Grand Forks, North Dakota

Phone Number

7016209165

Preferred Counties

Bottineau, Burleigh, Cass, Grand Forks, Rolette

Approved Services

  • 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 - Daily Rate [Rate: 5.86]
  • Personal Care Service/Waiver - Unit Rate [Rate: 5.86]

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

3920 Gardenview Dr
Apt 204
Grand Forks, North Dakota 58201

Mailing Address

3920 Gardenview Dr
Apt 204
Grand Forks, North Dakota 58201

Shianne Alexander

QSP Number:

1496764

City / State

Sherwood, North Dakota

Phone Number

7013890920

Preferred Counties

Bottineau, Burke, McHenry, McLean, Mountrail, Renville, Rolette, Ward

Approved Services

  • Chore - Labor
  • Chore - Lawn Care
  • Chore - Snow Removal
  • Extended Personal Care - Non-Nurse
  • Homemaker Service
  • Non-Medical Transportation (Escort)
  • Non-Medical Transportation (Local-OOT Driver)
  • Personal Care Service - Daily Rate
  • Personal Care Service - Unit Rate
  • Personal Care Service/Waiver - Daily Rate
  • Personal Care Service/Waiver - Unit Rate

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

416 E 1st St
Sherwood, North Dakota 58782

Mailing Address

Po Box 188
Sherwood, North Dakota 58782

Tanya Grant

QSP Number:

1493120

City / State

Rolette, North Dakota

Phone Number

7012782927

Preferred Counties

Rolette

Approved Services

  • Chore - Labor [Rate: 5.77]
  • Chore - Lawn Care [Rate: 5.77]
  • Chore - Snow Removal [Rate: 5.77]
  • Extended Personal Care - Non-Nurse
  • Homemaker Service [Rate: 5.20]
  • Non-Medical Transportation (Escort) [Rate: 5.20]
  • Non-Medical Transportation (Local-OOT Driver)
  • Personal Care Service - Daily Rate [Rate: 87.76]
  • Personal Care Service - Unit Rate [Rate: 5.77]
  • Personal Care Service/Waiver - Daily Rate
  • Personal Care Service/Waiver - Unit Rate [Rate: 5.86]

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

407 Highland St
Rolette, North Dakota 58366

Mailing Address

Po Box 331
Belcourt, North Dakota 58316

Winter Decoteau

QSP Number:

1495554

City / State

Belcourt, North Dakota

Phone Number

7014770534

Preferred Counties

Rolette

Approved Services

  • 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 - Daily Rate [Rate: 5.86]
  • Personal Care Service/Waiver - Unit Rate [Rate: 5.86]

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

9691 Bia Road 7
Belcourt, North Dakota 58316

Mailing Address

9691 Bia Road 7
Belcourt, North Dakota 58316