Provider Type
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List of QSPs and QSP Agencies
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Aging In Place Home Care, Llc
QSP Number:
1494215
City / State
Grand Forks, North Dakota
Phone Number
7017416627
Preferred Counties
Cass, Cavalier, Grand Forks, Griggs, Nelson, Pembina, Ramsey, Steele, Traill, Walsh
Approved Services
- Chore - Labor [Rate: 9.59]
- Chore - Lawn Care [Rate: 9.59]
- Chore - Snow Removal [Rate: 9.59]
- Companionship Services [Rate: 9.28]
- Extended Personal Care - Non-Nurse [Rate: 9.59]
- Homemaker Service [Rate: 9.59]
- Non-Medical Transportation (Escort) [Rate: 9.28]
- Non-Medical Transportation (Local-OOT Driver) [Rate: 9.67]
- Personal Care Service - Unit Rate [Rate: 9.59]
- Personal Care Service/Waiver - Unit Rate [Rate: 9.59]
- Respite Care [Rate: 9.59]
- Supervision [Rate: 9.28]
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
1509 S 20th St
Grand Forks, North Dakota 58201
Alfred Jalarue
QSP Number:
1488844
City / State
Fargo, North Dakota
Phone Number
7208792629
Preferred Counties
Barnes, Burleigh, Cass, Dickey, Eddy, Emmons, Foster, Grand Forks, Griggs, Kidder, Lamoure, Logan, McIntosh, Nelson, Ransom, Richland, Sargent, Steele, Stutsman, Traill, Wells
Approved Services
- Adult Foster Care [Rate: 157.59]
- Companionship Services [Rate: 5.20]
- 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]
- 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
3612 56th St S
Fargo, North Dakota 58104
Mailing Address
3612 56th St S
Fargo, North Dakota 58104
Andrea Heffta
QSP Number:
1489987
City / State
Adams, North Dakota
Phone Number
218-329-6841
Preferred Counties
Pembina, Walsh
Approved Services
- Companionship Services [Rate: 5.20]
- Non-Medical Transportation (Escort) [Rate: 5.20]
- Personal Care Service/Waiver - Unit Rate [Rate: 5.86]
- Respite Care [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
11571 65th St Ne
Adams, North Dakota 58210
Mailing Address
11571 65th St Ne
Adams, North Dakota 58210
Angela Huffman
QSP Number:
1452442
City / State
Minnewaukan, North Dakota
Phone Number
7013517899
Preferred Counties
Benson, Eddy, Foster, Ramsey
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]
- 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
4191 63rd Ave Ne
Minnewaukan, North Dakota 58351
Mailing Address
Po Box 249
Minnewaukan, North Dakota 58351
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
Aspire For Care Llc
QSP Number:
1494917
Phone Number
8178232633
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
- Community Support Services [Rate: 40.97]
- Companionship Services [Rate: 9.28]
- Homemaker Service [Rate: 9.59]
- Non-Medical Transportation (Escort) [Rate: 9.28]
- Non-Medical Transportation (Local-OOT Driver) [Rate: 9.67]
- Personal Care Service - Unit Rate [Rate: 9.59]
- Personal Care Service/Waiver - Unit Rate [Rate: 9.59]
- Residential Habilitation [Rate: 40.97]
- Respite Care [Rate: 9.59]
- Supervision [Rate: 9.28]
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
Mailing Address
2011 Laforest Ave
Apt 2
Bismarck, North Dakota 58501
Aviella Health Llc
QSP Number:
1490730
City / State
Bismarck, North Dakota
Phone Number
336-847-3562
Preferred Counties
Barnes, Burleigh, Cass, Emmons, Grand Forks, Kidder, McLean, Pembina, Richland, Sioux, Stutsman, Traill, Walsh
Approved Services
- Community Support Services
- Companionship Services [Rate: 7.14]
- Homemaker Service [Rate: 7.14]
- Non-Medical Transportation (Escort) [Rate: 7.14]
- Non-Medical Transportation (Local-OOT Driver) [Rate: 9.29]
- Personal Care Service - Unit Rate [Rate: 7.93]
- Personal Care Service/Waiver - Unit Rate [Rate: 9.59]
- Residential Habilitation
- 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
521 E Main Ave Suite 430
Bismarck, North Dakota 58501
Ayat Ibrahim
QSP Number:
1496341
City / State
Fargo, North Dakota
Phone Number
7576041665
Preferred Counties
Barnes, Burleigh, Cass, Eddy, Foster, Grand Forks, Griggs, Nelson, Ransom, Richland, Sargent, Steele, Traill
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]
- Supervision [Rate: 5.30]
Endorsements
- Catheter Care
- Cognitive/Supervision
- Exercise/Maintenance
- Medical Gases – Limited to oxygen
- Prosthesis / Orthotics/Adaptive Devices
- Suppository – Non-prescription
- Ted Stockings (surgical stockings)
- Temperature, Blood Pressure, Pulse, Respiration Rate
Physical Address
1363 10th Ave N
Fargo, North Dakota 58102
Mailing Address
1363 10th Ave N
Fargo, North Dakota 58102
Baho Residential Care Llc
QSP Number:
1492704
City / State
Bismarck, North Dakota
Phone Number
7048901186
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
- Community Support Services [Rate: 40.97]
- Companionship Services [Rate: 9.28]
- Homemaker Service [Rate: 9.59]
- Non-Medical Transportation (Escort) [Rate: 9.28]
- Personal Care Service - Unit Rate [Rate: 9.59]
- Personal Care Service/Waiver - Unit Rate [Rate: 9.59]
- Residential Habilitation [Rate: 40.97]
- Respite Care [Rate: 9.59]
- Supervision [Rate: 9.28]
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
4740 N 19 Th St Apt 302
Bismarck, North Dakota 58401
Mailing Address
715 10th St Ne Apt 201
North Dakota 58401
Blossom Services Group Llc
QSP Number:
1482148
City / State
West Fargo, North Dakota
Phone Number
701-541-9884
Preferred Counties
Barnes, Cass, Dickey, Foster, Grand Forks, Griggs, Lamoure, Logan, McIntosh, Nelson, Pembina, Ransom, Richland, Sargent, Steele, Stutsman, Traill, Walsh, Wells
Approved Services
- Community Support Services
- Companionship Services [Rate: 7.14]
- Extended Personal Care - Non-Nurse
- Extended Personal Care - Nurse
- Homemaker Service [Rate: 7.14]
- Non-Medical Transportation (Escort) [Rate: 7.14]
- Non-Medical Transportation (Local-OOT Driver) [Rate: 9.29]
- Nurse Education
- Personal Care Service - Unit Rate [Rate: 7.93]
- Personal Care Service/Waiver - Unit Rate [Rate: 9.59]
- Residential Habilitation
- 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
2046 Ruttan Ct
West Fargo, North Dakota 58078
Mailing Address
2046 Ruttan Ct
West Fargo, North Dakota 58078
Central Prairie Human Service Zone
QSP Number:
1455158
City / State
Fessenden, North Dakota
Phone Number
701-547-3694
Preferred Counties
Eddy, Foster, Wells
Approved Services
- Companionship Services [Rate: 7.14]
- Homemaker Service [Rate: 7.14]
- Non-Medical Transportation (Escort) [Rate: 7.14]
- Personal Care Service - Unit Rate [Rate: 7.93]
- Personal Care Service/Waiver - Unit Rate [Rate: 9.59]
- 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
600 Railway St N Dept 266
Fessenden, North Dakota 58438
Mailing Address
600 Railway St N Dept 266
Fessenden, North Dakota 58438
Centric Solutions
QSP Number:
1491084
City / State
Fargo, North Dakota
Phone Number
701-541-1111
Preferred Counties
Adams, Cass, Divide, Eddy, Foster, Grand Forks, Kidder, Logan, Nelson, Pembina, Ramsey, Ransom, Richland, Steele, Stutsman, Towner, Traill, Ward, Williams
Approved Services
- Community Support Services [Rate: 40.97]
- Companionship Services [Rate: 9.28]
- Extended Personal Care - Non-Nurse [Rate: 9.59]
- Extended Personal Care - Nurse [Rate: 20.10]
- Homemaker Service [Rate: 7.14]
- Non-Medical Transportation (Escort) [Rate: 7.14]
- Non-Medical Transportation (Local-OOT Driver) [Rate: 9.29]
- 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: 9.59]
- Supervision [Rate: 9.28]
Physical Address
2601 14th St S Apt 22
Fargo, North Dakota 58103
Mailing Address
2601 14th St S Apt 22
Fargo, North Dakota 58103
Collective Care Services Llc
QSP Number:
1489050
City / State
Fargo, North Dakota
Phone Number
240-535-7188
Preferred Counties
Barnes, Benson, Burleigh, Cass, Eddy, Foster, Grand Forks, Griggs, Kidder, Lamoure, Nelson, Ramsey, Ransom, Richland, Sheridan, Steele, Stutsman, Traill, Walsh, Wells
Approved Services
- Chore - Labor [Rate: 7.93]
- Companionship Services [Rate: 7.14]
- Extended Personal Care - Non-Nurse
- Extended Personal Care - Nurse [Rate: 20.10]
- Homemaker Service [Rate: 7.14]
- Non-Medical Transportation (Escort) [Rate: 7.14]
- Non-Medical Transportation (Local-OOT Driver) [Rate: 9.29]
- Nurse Education [Rate: 20.10]
- Personal Care Service - Unit Rate [Rate: 7.93]
- Personal Care Service/Waiver - Unit Rate [Rate: 9.59]
- 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
4357 13th Ave Sw Suite 107
Fargo, North Dakota 58103
Mailing Address
4357 13th Ave Sw Suite 107
Fargo, North Dakota 58103
Colleen Hurlbut
QSP Number:
1494967
City / State
Carrington, North Dakota
Phone Number
7155448086
Preferred Counties
Eddy, Foster, Griggs, Stutsman, Wells
Approved Services
- Chore - Labor [Rate: 5.77]
- Chore - Lawn Care [Rate: 5.77]
- Chore - Snow Removal [Rate: 5.77]
- Companionship Services [Rate: 5.20]
- 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
- Cognitive/Supervision
Physical Address
405 11th Ave N
Carrington, North Dakota 58421
Mailing Address
405 11th Ave N
Carrington, North Dakota 58421
Coral Berg
QSP Number:
1469687
City / State
Edmore, North Dakota
Phone Number
218-791-2336
Preferred Counties
Benson, Cavalier, Nelson, Pembina, Ramsey, Towner, Walsh
Approved Services
- Chore - Labor [Rate: 5.77]
- Companionship Services
- Extended Personal Care - Non-Nurse
- Homemaker Service
- Non-Medical Transportation (Escort)
- Personal Care Service - Daily Rate [Rate: 87.76]
- Personal Care Service - Unit Rate
- Personal Care Service/Waiver - Daily Rate
- Personal Care Service/Waiver - Unit Rate
- Respite Care
- Supervision
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
7471 104th Ave Ne
Edmore, North Dakota 58330
Mailing Address
7471 104th Ave Ne
Edmore, North Dakota 58330
Dakota Life Care Services Llc
QSP Number:
1499138
City / State
Fargo, North Dakota
Phone Number
7014332664
Preferred Counties
Barnes, Burleigh, Cass, Dickey, Eddy, Foster, Grand Forks, Griggs, Kidder, Lamoure, Nelson, Ransom, Richland, Sargent, Steele, Stutsman, Traill
Approved Services
- Companionship Services [Rate: 9.28]
- Extended Personal Care - Non-Nurse [Rate: 9.59]
- Homemaker Service [Rate: 9.59]
- Non-Medical Transportation (Escort) [Rate: 9.28]
- Non-Medical Transportation (Local-OOT Driver) [Rate: 9.67]
- One Time Transition Costs
- Personal Care Service - Unit Rate [Rate: 9.59]
- Personal Care Service/Waiver - Unit Rate [Rate: 9.59]
- Respite Care [Rate: 9.59]
- Supervision [Rate: 9.28]
- Transition Coordination [Rate: 12.40]
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
112 University Dr N
Ste 112
Fargo, North Dakota 58102
Dalayne Schmidt
QSP Number:
1491291
City / State
Hannaford, North Dakota
Phone Number
7017890449
Preferred Counties
Barnes, Foster, Griggs, Nelson, Steele
Approved Services
- Companionship Services [Rate: 5.20]
- 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]
- Nurse Education
- 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
11621 County Road 26
Hannaford, North Dakota 58448
Mailing Address
11621 County Road 26
Hannaford, North Dakota 58448
Elizabeth Totaye
QSP Number:
1498464
City / State
Fargo, North Dakota
Phone Number
7017301718
Preferred Counties
Barnes, Benson, Cass, Cavalier, Dickey, Eddy, Emmons, Foster, Grand Forks, Griggs, Kidder, Lamoure, Logan, McIntosh, Nelson, Pembina, Ramsey, Ransom, Richland, Steele, Stutsman, Traill, Walsh, Wells
Approved Services
- Companionship Services [Rate: 6.63]
- Extended Personal Care - Non-Nurse [Rate: 6.84]
- 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]
- Respite Care [Rate: 6.84]
- Supervision [Rate: 6.63]
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
1864 39th St S
Apt 102
Fargo, North Dakota 58103
Mailing Address
1864 39th St S
Apt 102
Fargo, North Dakota 58103
Fargo Care Solutions Llc
QSP Number:
1492532
Phone Number
7013433997
Preferred Counties
Barnes, Benson, Burleigh, Cass, Cavalier, Dickey, Eddy, Emmons, Foster, Grand Forks, Griggs, Kidder, Lamoure, Logan, McIntosh, Morton, Nelson, Oliver, Pembina, Pierce, Ramsey, Ransom, Richland, Sargent, Sheridan, Steele, Stutsman, Towner, Traill, Walsh, Wells
Approved Services
- Companionship Services [Rate: 9.28]
- Homemaker Service [Rate: 9.59]
- Personal Care Service - Unit Rate [Rate: 9.59]
- Personal Care Service/Waiver - Unit Rate [Rate: 9.59]
- Respite Care [Rate: 9.59]
- Supervision [Rate: 9.28]
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
Mailing Address
3215 17th St S
Moorhead, Minnesota 56560
Firstlight Home Care Of Nd
QSP Number:
1473708
City / State
Rugby, North Dakota
Phone Number
701-881-0101
Preferred Counties
Benson, Bottineau, Cavalier, Grand Forks, McHenry, Nelson, Pembina, Pierce, Ramsey, Renville, Rolette, Towner, Traill, Walsh, Ward
Approved Services
- Companionship Services [Rate: 7.14]
- Homemaker Service [Rate: 7.14]
- Non-Medical Transportation (Escort) [Rate: 7.14]
- Non-Medical Transportation (Local-OOT Driver) [Rate: 9.29]
- Personal Care Service - Unit Rate [Rate: 7.93]
- Personal Care Service/Waiver - Unit Rate [Rate: 9.59]
- 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
126 2nd Ave Sw Ste 111
Rugby, North Dakota 58368
Mailing Address
126 2nd Ave Sw Ste 111
Rugby, North Dakota 58368
Gaylene Mittleider
QSP Number:
1462544
City / State
Carrington, North Dakota
Phone Number
701-652-1354
Preferred Counties
Eddy, Foster, Wells
Approved Services
- Chore - Labor [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 - 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
1025 4th St S
Carrington, North Dakota 58421
Mailing Address
1025 4th St S
Carrington, North Dakota 58421
Gentle Path Home Care Llc
QSP Number:
1497960
City / State
Fargo, North Dakota
Phone Number
4086246887
Preferred Counties
Barnes, Benson, Burleigh, Cass, Cavalier, Dickey, Eddy, Emmons, Foster, Grand Forks, Grant, Griggs, Kidder, Lamoure, Logan, McIntosh, Nelson, Ramsey, Ransom, Richland, Sargent, Sheridan, Sioux, Steele, Stutsman, Traill, Walsh, Wells
Approved Services
- Companionship Services [Rate: 9.28]
- Extended Personal Care - Non-Nurse [Rate: 9.59]
- Homemaker Service [Rate: 9.59]
- Non-Medical Transportation (Escort) [Rate: 9.28]
- Non-Medical Transportation (Local-OOT Driver) [Rate: 9.67]
- Personal Care Service - Unit Rate [Rate: 9.59]
- Personal Care Service/Waiver - Unit Rate [Rate: 9.59]
- Respite Care [Rate: 9.59]
- Supervision [Rate: 9.28]
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
4474 24th Ave S Apt 607
Fargo, North Dakota 58104
Grand Forks Nd Caregiving Llc
QSP Number:
1495608
City / State
Waco, Texas
Phone Number
7012039326
Preferred Counties
Benson, Bottineau, Burke, Burleigh, Cavalier, Divide, Eddy, Foster, Grand Forks, Griggs, McHenry, McKenzie, McLean, Morton, Mountrail, Nelson, Pembina, Pierce, Ramsey, Renville, Rolette, Sheridan, Steele, Towner, Traill, Walsh, Ward, Wells, Williams
Approved Services
- Companionship Services [Rate: 9.28]
- Extended Personal Care - Non-Nurse [Rate: 9.59]
- Homemaker Service [Rate: 9.59]
- Non-Medical Transportation (Escort) [Rate: 9.28]
- Non-Medical Transportation (Local-OOT Driver) [Rate: 9.67]
- Personal Care Service - Unit Rate [Rate: 9.59]
- Personal Care Service/Waiver - Unit Rate [Rate: 9.59]
- Respite Care [Rate: 9.59]
- Supervision [Rate: 9.28]
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
2612 Washington Ave
Waco, Texas 76710
Hakanu Comfort Solutions
QSP Number:
1496158
City / State
Fargo, North Dakota
Phone Number
4692306721
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
- Community Support Services [Rate: 40.97]
- Companionship Services [Rate: 9.28]
- Extended Personal Care - Non-Nurse [Rate: 9.59]
- Extended Personal Care - Nurse [Rate: 20.10]
- Homemaker Service [Rate: 9.59]
- Non-Medical Transportation (Escort) [Rate: 9.28]
- Non-Medical Transportation (Local-OOT Driver) [Rate: 9.67]
- Nurse Education [Rate: 20.10]
- Personal Care Service - Unit Rate [Rate: 9.59]
- Personal Care Service/Waiver - Unit Rate [Rate: 9.59]
- Residential Habilitation [Rate: 40.97]
- Respite Care [Rate: 9.59]
- Supervision [Rate: 9.28]
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
7586 24th St S
Fargo, North Dakota 58104
Helen Johnson
QSP Number:
1496342
City / State
Jamestown, North Dakota
Phone Number
4016632452
Preferred Counties
Barnes, Cass, Foster, Griggs, Kidder, Steele, Stutsman, Wells
Approved Services
- 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
706 7th St Nw
Apt 6
Jamestown, North Dakota 58401
Mailing Address
706 7th St Nw
Apt 6
Jamestown, North Dakota 58401
Hope Care Center Llc
QSP Number:
1498511
City / State
Jamestown, North Dakota
Phone Number
2184432336
Preferred Counties
Barnes, Benson, Burleigh, Cass, Eddy, Foster, Grand Forks, Griggs, Kidder, Lamoure, Logan, McHenry, McLean, Pierce, Ransom, Sheridan, Steele, Stutsman, Traill, Ward, Wells
Approved Services
- Environmental Modification
- Homemaker Service [Rate: 9.59]
- Non-Medical Transportation (Escort) [Rate: 9.28]
- Personal Care Service - Unit Rate [Rate: 9.59]
- Personal Care Service/Waiver - Unit Rate [Rate: 9.59]
- Respite Care [Rate: 9.59]
- Supervision [Rate: 9.28]
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
1112 8th St Sw
Jamestown, North Dakota 58401
Horizon Support Care Llc
QSP Number:
1499327
City / State
Fargo, North Dakota
Phone Number
6128066333
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: 9.28]
- Extended Personal Care - Non-Nurse [Rate: 9.59]
- Homemaker Service [Rate: 9.59]
- Non-Medical Transportation (Escort) [Rate: 9.28]
- Personal Care Service - Unit Rate [Rate: 9.59]
- Personal Care Service/Waiver - Unit Rate [Rate: 9.59]
- Respite Care [Rate: 9.59]
- Supervision [Rate: 9.28]
Physical Address
1440 34th St S
309
Fargo, North Dakota 58103
Mailing Address
4771 8th St Loop Ne
309
Saint Cloud, Minnesota 56304
Jacqueline Hoselton
QSP Number:
1473789
City / State
Drayton, North Dakota
Phone Number
701-226-1036
Preferred Counties
Cavalier, Pembina, Walsh
Approved Services
- Chore - Labor [Rate: 5.77]
- 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) [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: 5.86]
- Respite Care [Rate: 5.77]
- 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
15550 Hwy 66
Drayton, North Dakota 58225
Mailing Address
15550 Hwy 66
Drayton, North Dakota 58225
Jenneh Fahnbulleh
QSP Number:
1488838
City / State
Fargo, North Dakota
Phone Number
7202265846
Preferred Counties
Barnes, Burleigh, Cass, Dickey, Eddy, Emmons, Foster, Grand Forks, Griggs, Kidder, Lamoure, Logan, McIntosh, Nelson, Ransom, Richland, Sargent, Steele, Stutsman, Traill, Wells
Approved Services
- Adult Foster Care [Rate: 157.59]
- Companionship Services [Rate: 5.20]
- 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
3612 56th St S
Fargo, North Dakota 58104
Mailing Address
3612 56th St S
Fargo, North Dakota 58104
Jennie Papenfuss
QSP Number:
1453203
City / State
St Thomas, North Dakota
Phone Number
701-360-1087
Preferred Counties
Cavalier, Grand Forks, Pembina, Walsh
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 - 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
525 Main St
St Thomas, North Dakota 58276
Mailing Address
525 Main St
St Thomas, North Dakota 58276
Jupon Family Services Llc
QSP Number:
1492676
City / State
Fargo, North Dakota
Phone Number
2027027532
Preferred Counties
Barnes, Cass, Dickey, Foster, Griggs, Lamoure, Ransom, Richland, Sargent, Steele, Stutsman, Traill
Approved Services
- Chore - Labor [Rate: 9.59]
- Companionship Services [Rate: 9.28]
- Homemaker Service [Rate: 9.59]
- Non-Medical Transportation (Escort) [Rate: 9.28]
- Personal Care Service - Unit Rate [Rate: 9.59]
- Personal Care Service/Waiver - Unit Rate [Rate: 9.59]
- Respite Care [Rate: 9.59]
- Supervision [Rate: 9.28]
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
3504 28th Ave S Apt 201
Fargo, North Dakota 58103
Mailing Address
3504 28th Ave S Apt 201
Fargo, North Dakota 58103
Kelly Houska
QSP Number:
1497192
City / State
Grafton, North Dakota
Phone Number
7015207327
Preferred Counties
Cavalier, Grand Forks, Nelson, Pembina, Ramsey, Walsh
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
- Homemaker Service [Rate: 5.30]
- Non-Medical Transportation (Escort) [Rate: 5.30]
- Non-Medical Transportation (Local-OOT Driver)
- 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
536 Lahaise Dr
Grafton, North Dakota 58237
Mailing Address
536 Lahaise Dr
Grafton, North Dakota 58237
Mindy Schumacher
QSP Number:
1498556
City / State
Venturia, North Dakota
Phone Number
7017310180
Preferred Counties
Barnes, Burleigh, Dickey, Emmons, Foster, Kidder, Lamoure, Logan, McIntosh, Morton, Oliver, Ransom, Sargent, Stutsman, Wells
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: 15.64]
- 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
3510 98th St Se
Venturia, North Dakota 58413
Mailing Address
3510 98th St Se
Venturia, North Dakota 58413
Mukata Health Services, Llc
QSP Number:
1498278
City / State
Bismarck, North Dakota
Phone Number
7048779617
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: 9.28]
- Homemaker Service [Rate: 9.59]
- Non-Medical Transportation (Escort) [Rate: 9.28]
- Personal Care Service - Unit Rate [Rate: 9.59]
- Personal Care Service/Waiver - Unit Rate [Rate: 9.59]
- Respite Care [Rate: 9.59]
- Supervision [Rate: 9.28]
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
4740 N 19th St
Apt 305
Bismarck, North Dakota 58503
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
Nela Health Agency
QSP Number:
1494024
City / State
Fargo, North Dakota
Phone Number
7015665493
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: 9.28]
- Extended Personal Care - Non-Nurse [Rate: 9.59]
- Homemaker Service [Rate: 9.59]
- Non-Medical Transportation (Escort) [Rate: 9.28]
- Personal Care Service - Unit Rate [Rate: 9.59]
- Personal Care Service/Waiver - Unit Rate [Rate: 9.59]
- Respite Care [Rate: 9.59]
- Supervision [Rate: 9.28]
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
2561 Fulton Loop S
Fargo, North Dakota 58104
Nicole Nielsen
QSP Number:
1498329
City / State
Grafton, North Dakota
Phone Number
7013312515
Preferred Counties
Cavalier, Grand Forks, Nelson, Pembina, Ramsey, Walsh
Approved Services
- Chore - Job
- Chore - Labor [Rate: 6.84]
- Chore - Lawn Care [Rate: 6.84]
- Companionship Services [Rate: 6.63]
- Extended Personal Care - Non-Nurse [Rate: 6.84]
- 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: 6.84]
- Personal Care Service/Waiver - Unit Rate [Rate: 6.84]
- Respite Care [Rate: 6.84]
- Supervision [Rate: 6.63]
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
1419 Dogwood Ave
Grafton, North Dakota 58237
Mailing Address
1419 Dogwood Ave
Grafton, North Dakota 58237
Northern Valley Human Service Zone
QSP Number:
1456527
City / State
Langdon, North Dakota
Phone Number
701-256-2175
Preferred Counties
Cavalier, Pembina, Walsh
Approved Services
- Chore - Labor [Rate: 9.59]
- Companionship Services [Rate: 7.14]
- Homemaker Service [Rate: 7.14]
- Non-Medical Transportation (Escort) [Rate: 7.14]
- Non-Medical Transportation (Local-OOT Driver) [Rate: 9.67]
- Personal Care Service - Unit Rate [Rate: 7.93]
- Respite Care [Rate: 7.93]
Endorsements
- Cognitive/Supervision
Physical Address
324 7th Ave
Langdon, North Dakota 58249
Mailing Address
Po Box 630
Langdon, North Dakota 58249
Nyamah Keymah
QSP Number:
1496191
City / State
Jamestown, North Dakota
Phone Number
7019898872
Preferred Counties
Barnes, Burleigh, Cass, Dickey, Eddy, Foster, Golden Valley, Grand Forks, Griggs, Hettinger, Kidder, Logan, McLean, Mercer, Morton, Nelson, Oliver, Ransom, Sheridan, Steele, Stutsman, Traill, Ward, Wells
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
706 7th St Nw
Apt 1
Jamestown, North Dakota 58401
Mailing Address
706 7th St Nw
Apt 1
Jamestown, North Dakota 58401
Prestigious Home Care Llc
QSP Number:
1494993
City / State
Bismarck, North Dakota
Phone Number
7014722640
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: 9.59]
- Chore - Lawn Care [Rate: 9.59]
- Chore - Snow Removal [Rate: 9.59]
- Companionship Services [Rate: 9.28]
- Extended Personal Care - Non-Nurse [Rate: 9.59]
- Extended Personal Care - Nurse [Rate: 20.10]
- Homemaker Service [Rate: 9.59]
- Non-Medical Transportation (Escort) [Rate: 9.28]
- Non-Medical Transportation (Local-OOT Driver) [Rate: 9.67]
- Nurse Education [Rate: 20.10]
- Personal Care Service - Unit Rate [Rate: 9.59]
- Personal Care Service/Waiver - Unit Rate [Rate: 9.59]
- Respite Care [Rate: 9.59]
- Supervision [Rate: 9.28]
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
3333 E Broadway Ave Apt 1201
Bismarck, North Dakota
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
Shelly Ahoe
QSP Number:
1464109
City / State
Devils Lake, North Dakota
Phone Number
7013511358
Preferred Counties
Benson, Cavalier, Eddy, Foster, McHenry, Nelson, Pierce, Ramsey, Stutsman, Towner, Wells
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 - 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
223 9th St Nw
Devils Lake, North Dakota 58301
Mailing Address
223 9th St Nw
Devils Lake, North Dakota 58301
Southern Living Llc
QSP Number:
1494654
City / State
Fargo, North Dakota
Phone Number
7062546417
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: 9.59]
- Chore - Lawn Care [Rate: 9.59]
- Chore - Snow Removal [Rate: 9.59]
- Companionship Services [Rate: 9.28]
- Extended Personal Care - Non-Nurse [Rate: 9.59]
- Homemaker Service [Rate: 9.59]
- Non-Medical Transportation (Escort) [Rate: 9.28]
- Non-Medical Transportation (Local-OOT Driver) [Rate: 9.67]
- Personal Care Service - Unit Rate [Rate: 9.59]
- Personal Care Service/Waiver - Unit Rate [Rate: 9.59]
- Respite Care [Rate: 9.59]
- Supervision [Rate: 9.28]
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
4466 47th St S Apt 309
Fargo, North Dakota 58104
Stephanie Nord
QSP Number:
1495522
City / State
Grafton, North Dakota
Phone Number
7013312947
Preferred Counties
Cavalier, Grand Forks, Pembina, Walsh
Approved Services
- Chore - Job
- 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
- 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
159 Wakeman Ave
Grafton, North Dakota 58237
Mailing Address
159 Wakeman Ave
Grafton, North Dakota 58237
Superior Care Llc
QSP Number:
1497818
City / State
Fargo, North Dakota
Phone Number
8015609439
Preferred Counties
Adams, Barnes, Benson, Billings, Bottineau, Bowman, Burke, Burleigh, Cavalier, Dickey, Divide, Dunn, Eddy, Emmons, Foster, Grant, Griggs, Hettinger, Kidder, Lamoure, Logan, McHenry, McIntosh, McKenzie, McLean, Mercer, Morton, Mountrail, Nelson, Oliver, Pembina, Pierce, Ransom, Renville, Richland, Rolette, Sargent, Sheridan, Sioux, Slope, Stark, Steele, Stutsman, Towner, Traill, Walsh, Ward, Wells, Williams
Approved Services
- Companionship Services [Rate: 9.28]
- Homemaker Service [Rate: 9.59]
- Non-Medical Transportation (Escort) [Rate: 9.28]
- Personal Care Service - Unit Rate [Rate: 9.59]
- Personal Care Service/Waiver - Unit Rate [Rate: 9.59]
- Respite Care [Rate: 9.59]
- Supervision [Rate: 9.28]
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
4140 4th Ave S
Apt 1129
Fargo, North Dakota 58103
Mailing Address
Po Box 1115
Apt 1129
Moorhead, Minnesota 56561
Sylvia Moore
QSP Number:
1452821
City / State
Mountain, North Dakota
Phone Number
701-993-8370
Preferred Counties
Cavalier, Pembina, Walsh
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]
- 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
60 Moore Lane
Mountain, North Dakota 58262
Mailing Address
Po Box 111
Mountain, North Dakota 58262
Tara Dinkel
QSP Number:
1485956
City / State
Grafton, North Dakota
Phone Number
701-620-1229
Preferred Counties
Cavalier, Grand Forks, Pembina, Walsh
Approved Services
- Companionship Services [Rate: 5.20]
- Extended Personal Care - Nurse [Rate: 14.00]
- 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
1016 Kittson Ave
Grafton, North Dakota 58237
Mailing Address
1016 Kittson Ave
Grafton, North Dakota 58237
Treasure Pappas-guy
QSP Number:
1494187
City / State
Sheyenne, North Dakota
Phone Number
7012301885
Preferred Counties
Benson, Eddy, Foster, Grand Forks, Nelson, Ramsey, Towner
Approved Services
- Chore - Job [Rate: 5.77]
- 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
7445 29th St Ne
Sheyenne, North Dakota 58374
Mailing Address
202 13th St Nw
Devils Lake, North Dakota 58301
Treva Heck
QSP Number:
1452277
City / State
Park River, North Dakota
Phone Number
701-331-0579
Preferred Counties
Cavalier, Nelson, Pembina, Walsh
Approved Services
- Chore - Labor [Rate: 5.89]
- Chore - Lawn Care [Rate: 5.89]
- Chore - Snow Removal [Rate: 5.89]
- Companionship Services [Rate: 5.30]
- 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
6901 130th Ave Ne
Park River, North Dakota 58270
Mailing Address
6901 130th Ave Ne
Park River, North Dakota 58270
Tylah Wildey
QSP Number:
1498082
City / State
Baltimore, Maryland
Phone Number
7017418269
Preferred Counties
Cass, Grand Forks, Pembina, Traill, Walsh
Approved Services
- Chore - Labor [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]
- 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
106 Warren Ave
Baltimore, Maryland 21230
Mailing Address
106 Warren Ave
Baltimore, Maryland 21230
