CHI HEALTH CONNECT AT HOME - FARGO (NPI# 1396050860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396050860 |
| Entity Type | Organization |
| Organization Name | CHI HEALTH CONNECT AT HOME - FARGO |
| Other Organization Name | CHI HEALTH AT HOME |
| Practice Address |
367 2nd St Nw Valley City ND 58072-2971 |
| Mailing Address |
4816 Amber Valley Parkway Fargo ND 58104-8404 |
| Practice Telephone | 7018456550 |
| Practice Fax Number | 7018456552 |
| Mailing Telephone | 7012378116 |
| Mailing Fax Number | 7012378188 |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2020-07-30 |
| 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 |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 6015 | ND | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 6015 | 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 |
| 1093019754 | Chi Health Connect At Home - Fargo | Home Health | 131 8th Street South, Suite 1, Albany, MN 56307-0776 | 2011-01-10 |
| Street Address |
367 2ND ST NW |
| City | VALLEY CITY |
| State | ND |
| Zip Code | 58072-2971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265747737 | Chi Health Connect At Home-fargo | Home Health | 367 2nd St Nw, Valley City, ND 58072-2971 | 2010-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376063693 | Casey Skramstad | Adult Companion | 943 13th Ave Sw, Valley City, ND 58072 | 2017-06-27 |
| 1750656310 | Scott Mcneal | Specialist | 1028 West Main St, Valley City, ND 58072 | 2012-03-15 |
| 1447560164 | Lemont William Jahn | Pharmacist | 148 S Central Avenue, Valley City, ND 58072 | 2010-10-15 |
| 1104000124 | Janice Kay Gabriel Johnson | Occupational Therapist | 136 2nd Ave Ne, Valley City, ND 58072 | 2007-12-27 |
| 1194926659 | Barnes County Ambulance Inc | Emergency Medical Technician, Paramedic | 914 11th Ave Sw, Valley City, ND 58072 | 2007-05-30 |
| 1649332461 | Craig A Wagamon | Nurse Anesthetist, Certified Registered | 206 8th St Nw, Valley City, ND 58072 | 2006-12-15 |
| 1235204389 | Open Door Center | Intermediate Care Facility, Mentally Retarded | 209 2nd Street Se, Valley City, ND 58072 | 2006-11-22 |
| 1215001706 | Barbara E Owen | Speech-Language Pathologist | Sheyenne Care Center, 979 No Central Ave, Valley City, ND 58072 | 2006-11-17 |
| 1891877239 | Central Avenue Chiropractic PC | Chiropractor | 323 Central Avenue North, Suite 202, Valley City, ND 58072 | 2006-10-19 |
| 1831271287 | Larry Edwin Sayler | Chiropractor | 323 North Central Avenue, Suite 202, Valley City, ND 58072 | 2006-10-19 |
| Find all providers in zip 58072 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| 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 |
| 1578878047 | Chi Health Connect At Home-fargo | Hospice Care, Community Based | 986 2nd Avenue West, Dickinson, ND 58601-3916 | 2010-08-09 |
| 1588866685 | Tami's Angels, Inc. | Hospice Care, Community Based | 624 Main Ave, Suite 10, Fargo, ND 58103-1966 | 2007-06-01 |
| 1225009038 | Mercy Hospital of Devils Lake | Hospice Care, Community Based | 1031 7th St Ne, Devils Lake, ND 58301-2798 | 2006-01-30 |
| 1013559905 | Sanford Medical Center Fargo | Hospice Care, Community Based | 801 Broadway N, Fargo, ND 58102-3641 | 2019-10-11 |
| 1366092801 | Sanford Medical Center Fargo | Hospice Care, Community Based | 820 4th St N, Fargo, ND 58102-4539 | 2019-09-17 |
| 1437634706 | Caringedge Hospice of Fargo | Hospice Care, Community Based | 4420 37th Ave S, Fargo, ND 58104-3400 | 2018-10-02 |
| 1740799501 | Caringedge Hospice of Minot LLC | Hospice Care, Community Based | 800 16th Ave Se, Minot, ND 58701-6781 | 2017-09-25 |
| 1093224867 | Caringedge Hospice of Bismarck LLC | Hospice Care, Community Based | 3124 Colorado Ln, Bismarck, ND 58503-5447 | 2017-09-25 |
| Find all providers with the same taxonomy | ||||
| City | VALLEY CITY |
| Zip Code | 58072 |
Please comment or provide details below to improve the information on CHI HEALTH CONNECT AT HOME - FARGO.
| 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.