List of QSPs and QSP Agencies

QSP Number:

1469163

City / State

Minot, North Dakota

Phone Number

7017218052

Email

tami-kulzer@hotmail.com

Preferred Counties

Bottineau, McHenry, McLean, Mountrail, Renville, Ward

Approved Services

• Companionship Services [Rate: 5.20]
• Extended Personal Care - Non-Nurse [Rate: 5.77]
• Homemaker Service [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]
• Respite in an Adult Foster Care
• Supervision [Rate: 5.20]

Physical Address

912 41st St Se
Minot, North Dakota 58701

Mailing Address

912 41st St Se
Minot, North Dakota 58701

QSP Number:

1493120

City / State

Rolette, North Dakota

Phone Number

7012782927

Email

nannaz_bby_07@yahoo.com

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]

Physical Address

407 Highland St
Rolette, North Dakota 58366

Mailing Address

Po Box 331
Belcourt, North Dakota 58316

QSP Number:

1470357

City / State

Belcourt, North Dakota

Phone Number

701-477-5333

Email

stephanie.jay@tmbci.org

Preferred Counties

Rolette

Approved Services

• Chore - Labor [Rate: 7.93]
• 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]
• Supervision [Rate: 7.14]

Physical Address

1023 Chief Little Shell St Ne
Belcourt, North Dakota 58316

Mailing Address

Po Box 900
Belcourt, North Dakota 58316

QSP Number:

1496812

Phone Number

7013399091

Email

sambrew50@gmail.com

Preferred Counties

Bottineau, McHenry, Mountrail, Renville, Ward, Williams

Approved Services

• One Time Transition Costs
• Transition Coordination [Rate: 12.40]

QSP Number:

1478252

City / State

Belcourt, North Dakota

Phone Number

701-244-0763

Email

vkeplin2020@gmail.com

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]
• Respite Care [Rate: 5.77]

Physical Address

9764 Bia Rd 11
Belcourt, North Dakota 58316

Mailing Address

9764 Bia Rd 11
Belcourt, North Dakota 58316

QSP Number:

1468091

City / State

Minot, North Dakota

Phone Number

701-852-2636

Email

kdockter@visitingangels.com

Preferred Counties

Benson, Bottineau, McHenry, Mountrail, Pierce, Renville, Rolette, Ward, Williams

Approved Services

• Companionship Services [Rate: 7.93]
• Homemaker Service [Rate: 7.93]
• Non-Medical Transportation (Escort) [Rate: 9.28]
• Non-Medical Transportation (Local-OOT Driver) [Rate: 9.48]
• Personal Care Service - Unit Rate [Rate: 7.93]
• Personal Care Service/Waiver - Unit Rate [Rate: 9.40]
• Respite Care [Rate: 7.93]
• Supervision [Rate: 7.93]
• Transitional Living [Rate: 9.40]

Physical Address

7 3rd St Se Ste 101
Minot, North Dakota 58701

Mailing Address

7 3rd St Se Ste 101
Minot, North Dakota 58701

QSP Number:

1495554

City / State

Belcourt, North Dakota

Phone Number

7014770534

Email

wrdecoteau@gmail.com

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]

Physical Address

9691 Bia Road 7
Belcourt, North Dakota 58316

Mailing Address

9691 Bia Road 7
Belcourt, North Dakota 58316

QSP Number:

1490560

City / State

Dickinson, North Dakota

Phone Number

701-402-3335

Email

zimhealthservices@gmail.com

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, Nelson, Oliver, Pembina, Ransom, Renville, Richland, Rolette, Sargent, Sheridan, Sioux, Stark, Steele, Stutsman, Towner, Traill, Ward, Wells, Williams

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: 9.29]
• 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]

Physical Address

30 7th St W Ste 1f121b
Dickinson, North Dakota 58601

Mailing Address

30 7th St W Ste 1f121b
Dickinson, North Dakota 58601