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
Shannon Hoogland
QSP Number:
1478436
City / State
Wahpeton, North Dakota
Phone Number
701-640-4625
Preferred Counties
Richland
Approved Services
- Companionship Services [Rate: 5.20]
- Family Home Care [Rate: 49.56]
- 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
- Cognitive/Supervision
- Exercise/Maintenance
- Prosthesis / Orthotics/Adaptive Devices
- Ted Stockings (surgical stockings)
- Temperature, Blood Pressure, Pulse, Respiration Rate
Physical Address
1530 14th Ave N
Wahpeton, North Dakota 58075
Mailing Address
1530 14th Ave N
Wahpeton, North Dakota 58075