OrganizationActive
Spheralis
NPI 1154200673 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Fargo, ND
Provider details
- NPI number
- 1154200673
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Ruth Ivanov, Ceo(818) 300-6430
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
- Health Maintenance Organization302R00000X
Managed Care Organizations
Nursing & Custodial Care Facilities
Respite Care Facility
- Nursing Care Agency251J00000X
Agencies
Practice location
3120 33rd St S Apt 202
Fargo, ND 58103-7830
Phone: (818) 300-6430
Approximate (ZIP-level) locationGet directions
Mailing address
3120 33rd St S Apt 202
Fargo, ND 58103-7830
Registry dates
- Enumerated
- 2025-08-28
- Last updated
- 2025-08-28
- Certified
- 2025-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.