CHI HEALTH CONNECT AT HOME-FARGO NPI 1215511167

NPI Information

  • NPI: 1215511167
  • Provider Name: CHI HEALTH CONNECT AT HOME-FARGO
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Doing Business As: CHI HEALTH AT HOME - BRECKENRIDGE
  • CLIA Number: 24D0858119
  • Address: 1110 HIGHWAY 75 N STE A
    BRECKENRIDGE, MN
    ZIP 56520
  • Phone: (218) 643-2275

Map and Directions

Get Directions

NPI Details

CHI HEALTH CONNECT AT HOME-FARGO is a health service clinic center in Breckenridge, MN. CHI HEALTH CONNECT AT HOME-FARGO NPI is 1215511167. The provider is registered as an organization entity type.
The provider Is Doing Business As Chi Health At Home - Breckenridge.

The provider's business location address is:

1110 HIGHWAY 75 N STE A
BRECKENRIDGE, MN
ZIP 56520-108
Phone: (218) 643-2275

The provider's authorized official is Nicole Peyerl .
The authorized official title is Director Operations/auth Official and has the following contact phone number (701) 238-3206.

The CLIA number assigned to this NPI record is 24D0858119 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/7/2021 and was last updated on 1/22/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0100XClinic/CenterHealth ServiceYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI