Organization · NPI-2

Fm Home Life Services LLC

Home Health Aide · Moorhead, MN

NPI number1063366698
StatusActive
Last updated in NPPESFeb 23, 2026

Details

NPI
1063366698
Entity type
Organization (NPI-2)
Legal business name
Fm Home Life Services LLC
Organization subpart
No
Enumeration date
Feb 23, 2026
Certification date
Feb 22, 2026
Last updated
Feb 23, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

3403 15th St S
Moorhead, MN 56560-6928

Phone 701-353-9832

Mailing address

3403 15th St S
Moorhead, MN 56560-6928

Phone 701-353-9832

Authorized official

Innocent Tambwe
Owner
7013539832

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Home Health Aide providers in Moorhead, MN