Provider Type Icon

CHI HEALTH CONNECT AT HOME-FARGO NPI 1578878047


NPI Information

NPI: 1578878047
Provider Name: CHI HEALTH CONNECT AT HOME-FARGO

Doing Business As: CHI HEALTH AT HOME

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
986 2ND AVENUE WEST
DICKINSON, ND
ZIP 58601
Phone: (701) 456-4378
Get Directions

CHI HEALTH CONNECT AT HOME-FARGO is a hospice care community based in Dickinson, ND. CHI HEALTH CONNECT AT HOME-FARGO NPI is 1578878047. The provider is registered as an organization entity type.
The provider Is Doing Business As Chi Health At Home.

The provider's business location address is:

986 2ND AVENUE WEST
DICKINSON, ND
ZIP 58601-916
Phone: (701) 456-4378
Fax: (701) 456-4809

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 enumeration date for this NPI number is 8/9/2010 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community Based6005NORTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
155830MEDICAIDNORTH DAKOTA
26005MEDICAIDNORTH DAKOTA

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: 4/28/2024

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.