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
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
Penny Putnam-freeman
QSP Number:
1491475
City / State
Donnybrook, North Dakota
Phone Number
2082903694
Preferred Counties
Burke, Mountrail, Renville, Ward
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 - Unit Rate [Rate: 5.77]
- Personal Care Service/Waiver - Unit Rate [Rate: 5.86]
- Respite Care [Rate: 5.77]
- Respite in an Adult Foster Care
- 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
45975 Highway 50 W
Donnybrook, North Dakota 58734
Mailing Address
45975 Highway 50 W
Donnybrook, North Dakota 58734