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Villa Nazareth

Intellectual Disabilities Intermediate Care Facility in Fargo, ND · enumerated 2008 · authorized official Dave Keeler, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417124462

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Registry record

Entity type Organization (Type 2)
Legal business name Villa Nazareth
Other name <Unavail>
Practice address 2424 18th St S, Fargo, ND, 58103
Phone (701) 293-6180
Fax (701) 232-6104
Enumeration date May 9, 2008
Last updated in NPPES May 9, 2008

Taxonomy & classification

315P00000X Intellectual Disabilities Intermediate Care Facility Nursing & Custodial Care Facilities · License 30824 (ND) Primary

Authorized official

Name Dave Keeler
Title Cfo
Phone (701) 235-8217

Other identifiers

Identifier Type State Issuer
30824 Medicaid ND -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Villa Nazareth?
The NPI for Villa Nazareth is 1417124462, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Villa Nazareth?
NPPES lists Dave Keeler (Cfo) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-05-09.