Domi Services Incorporated
Case Management in Rockford, MN. Organization (NPI-2).
NPI number1104772391
StatusActive
Last updated in NPPESMar 9, 2026
Details
- NPI
- 1104772391
- Entity type
- Organization (NPI-2)
- Legal business name
- Domi Services Incorporated
- Organization subpart
- No
- Enumeration date
- Mar 9, 2026
- Certification date
- Mar 9, 2026
- Last updated
- Mar 9, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
Practice location
5950 Oak StRockford, MN 55373-9498
Phone 763-250-3022
Mailing address
Po Box 126Rockford, MN 55373-0126
Phone 763-250-3022
Authorized official
Heather Hudson
Designated Manager
7632503022
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