CHI HEALTH CONNECT AT HOME - FARGO (NPI# 1093019754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093019754 |
| Entity Type | Organization |
| Organization Name | CHI HEALTH CONNECT AT HOME - FARGO |
| Other Organization Name | CHI HEALTH AT HOME |
| Practice Address |
131 8th Street South Suite 1 Albany MN 56307-0776 |
| Mailing Address |
4816 Amber Valley Parkway Fargo ND 58104-8404 |
| Practice Telephone | 3208452440 |
| Practice Fax Number | 3208452449 |
| Mailing Telephone | 7012378116 |
| Mailing Fax Number | 7012378188 |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2019-09-20 |
| Authorized Official Name | MRS. DEANNA KAINZ (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 7012378139 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMONSPIRIT HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| Y | 251E00000X | Home Health | MN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 371986 | 05 |
| Other Name | Type Code |
|---|---|
| CHI Health at Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316501422 | Chi Health Connect At Home - Fargo | Hospice Care, Community Based | 5300 12th St S, Fargo, ND 58104-4034 | 2019-04-24 |
| 1841647542 | Chi Health Connect At Home - Fargo | Hospice Care, Community Based | 1212 E. Maine Avenue, Bismarck, ND 58501-4518 | 2016-05-23 |
| 1922302843 | Chi Health Connect At Home - Fargo | Hospice Care, Community Based | 131 8th Street South, Suite 1, Albany, MN 56307-0776 | 2011-01-06 |
| 1366006470 | Chi Health Connect At Home - Fargo | Home Health | 5300 12th St S, Fargo, ND 58104-4034 | 2019-04-24 |
| 1396050860 | Chi Health Connect At Home - Fargo | Hospice Care, Community Based | 367 2nd St Nw, Valley City, ND 58072-2971 | 2010-08-09 |
| Street Address |
131 8TH STREET SOUTH SUITE 1 |
| City | ALBANY |
| State | MN |
| Zip Code | 56307-0776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922302843 | Chi Health Connect At Home - Fargo | Hospice Care, Community Based | 131 8th Street South, Suite 1, Albany, MN 56307-0776 | 2011-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669023156 | Mary Jane Zeimetz | Technician | 355 Countryside Ln #6, Albany, MN 56307 | 2019-09-25 |
| 1003965047 | Harry J Larson | Dentist | 150 4th Street, Albany, MN 56307 | 2007-01-09 |
| 1952498214 | Katrina Coppicus | Occupational Therapist | 230 Church Street, Albany, MN 56307 | 2006-10-06 |
| 1457726549 | Centracare Clinic | Clinic/Center | 30 Railroad Ave, Albany, MN 56307 | 2015-12-01 |
| 1104899939 | Mother of Mercy | Skilled Nursing Facility | 230 Church Avenue, Albany, MN 56307-0676 | 2006-02-10 |
| 1427108273 | Robert C. Schwegler, Dds Pa | Clinic/Center | 421 Railroad Ave, Albany, MN 56307-0808 | 2007-01-12 |
| 1700408796 | Jessica Michael Lindquist | Counselor | 1185 Cranberry St, Albany, MN 56307-4518 | 2020-05-12 |
| 1417440223 | Megan Raiber | Dentist | 360 Railroad Ave, Albany, MN 56307-6201 | 2018-06-07 |
| 1730526419 | Leslie Marie Young | Counselor | 161 4th St Ste B, Albany, MN 56307-8356 | 2013-06-04 |
| 1386109957 | Blue Sky Mental Health Pllc | Counselor | 161 4th St Ste B, Albany, MN 56307-8356 | 2019-02-07 |
| Find all providers in zip 56307 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998953 | South Ga Family Care LLC | Home Health | 511 N Slappey Blvd Ste B, Albany, GA 31701-1458 | 2020-07-02 |
| 1912523663 | Coram Healthcare Corporation of Greater New York | Home Health | 20 Madison Avenue Ext Ste 5, Albany, NY 12203-5326 | 2020-06-18 |
| 1457976763 | Althenia Lemorris Brown | Home Health | 100 S Magnolia St Ste E1, Albany, GA 31707-4206 | 2020-06-11 |
| 1437778552 | Golden Hearts Home Care, LLC | Home Health | 1918 Elkhorn Ln Apt A, Albany, GA 31707-2156 | 2020-04-09 |
| 1881232015 | Visionary Home Care LLC | Home Health | 306 S Shadowlawn Dr, Albany, GA 31707-4243 | 2019-12-18 |
| 1316505704 | Tanya Michelle Jones | Home Health | 423 Cannon Cir, Albany, GA 31705-4071 | 2019-05-31 |
| 1083170997 | Shelby Daniel | Home Health | 2700 Quail Run Dr, Albany, GA 31721-8837 | 2019-02-15 |
| 1710475579 | Rbrc of Albany, LLC | Home Health | 1510 Central Ave Ste 330, Albany, NY 12205-5090 | 2018-04-27 |
| 1205348349 | Angels Nursing Service | Home Health | 1811 W Whitney Ave, Albany, GA 31707-4246 | 2017-10-30 |
| 1174042592 | Gervin Health Services LLC | Home Health | 2018 Lafayette Cir Apt B, Albany, GA 31707-3288 | 2017-09-18 |
| Find all providers in ALBANY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.