OrganizationActive
Beacon of Light House
NPI 1063112746 · Case Management Agency · Fargo, ND
Provider details
- NPI number
- 1063112746
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Dale Wolf, Director of Operations(701) 361-9922
Specialties & taxonomies
Agencies
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
111 9th St S
Fargo, ND 58103-1831
Phone: (701) 893-8498
Street-level locationGet directions
Mailing address
111 9th St S
Fargo, ND 58103-1831
Registry dates
- Enumerated
- 2023-03-09
- Last updated
- 2025-02-18
- Certified
- 2025-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.