Alphonso S Jacobs
Technician, Personal Care Attendant in Fargo, ND. Individual provider (NPI-1).
NPI number1962321729
StatusActive
Last updated in NPPESJul 14, 2026
Details
- NPI
- 1962321729
- Entity type
- Individual (NPI-1)
- Name
- Alphonso S Jacobs
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 14, 2026
- Certification date
- Jul 14, 2026
- Last updated
- Jul 14, 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 |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | 53989 | ND | Yes |
Practice location
3548 47th St S Apt 201Fargo, ND 58104-4008
Phone 701-720-5588
Mailing address
3548 47th St S Apt 201Fargo, ND 58104-4008
Phone 701-720-5588
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.
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