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Provider Type
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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: 6.98]
- Chore - Lawn Care [Rate: 6.98]
- Chore - Snow Removal [Rate: 6.98]
- Extended Personal Care - Non-Nurse [Rate: 6.98]
- Homemaker Service [Rate: 6.98]
- Non-Medical Transportation (Escort) [Rate: 6.76]
- Non-Medical Transportation (Local-OOT Driver) [Rate: 9.67]
- Personal Care Service - Daily Rate [Rate: 91.31]
- Personal Care Service - Unit Rate [Rate: 6.98]
- Personal Care Service/Waiver - Daily Rate [Rate: 6.98]
- Personal Care Service/Waiver - Unit Rate [Rate: 6.98]
- Respite Care - Family Caregiver [Rate: 6.98]
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
2703 14th St W
West Fargo, North Dakota 58078
Mailing Address
2703 14th St W
West Fargo, North Dakota 58078
Neveah Peltier
QSP Number:
1498739
City / State
Belcourt, North Dakota
Phone Number
7019469175
Preferred Counties
Rolette, Ward
Approved Services
- Family Home Care [Rate: 77.69]
- Homemaker Service [Rate: 6.98]
- Non-Medical Transportation (Escort) [Rate: 6.76]
- Personal Care Service - Daily Rate [Rate: 91.31]
- Personal Care Service - Unit Rate [Rate: 6.98]
- Personal Care Service/Waiver - Daily Rate [Rate: 6.98]
- Personal Care Service/Waiver - Unit Rate [Rate: 6.98]
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
3878 Highway 281
Unit 710
Belcourt, North Dakota 58316
Mailing Address
100 Peace Garden Ave E
# 421
Dunseith, North Dakota 58329
