OrganizationActive
Villa Nazareth
NPI 1417124462 · Intellectual Disabilities Intermediate Care Facility · Fargo, ND
Provider details
- NPI number
- 1417124462
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Dave Keeler, Cfo(701) 235-8217
- License
- 30824 (ND)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
2424 18th St S
Fargo, ND 58103-5110
Phone: (701) 293-6180
Fax: (701) 232-6104
Street-level locationGet directions
Mailing address
801 Page Dr S
Fargo, ND 58103-2315
Other names (DBA / former)
- Doing business as
- Friendship, Inc.
Registry dates
- Enumerated
- 2008-05-09
- Last updated
- 2008-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.