CHI HEALTH CONNECT AT HOME-FARGO


Address: 367 2nd St Nw, Valley City, ND 58072-2971
Phone: 7018456550

CHI HEALTH CONNECT AT HOME-FARGO (NPI# 1265747737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265747737
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health 4031 ND Agencies

Other Provider Identifier

State Issuer Identifier Type Code
ND 4031 05

Other Provider/Organization Names

Other Name Type Code
CHI Health at Home Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1578878047 Chi Health Connect At Home-fargo Hospice Care, Community Based 986 2nd Avenue West, Dickinson, ND 58601-3916 2010-08-09
1972817732 Chi Health Connect At Home-fargo Home Health 1110 Highway 75 North, Suite A, Breckenridge, MN 56520-1117 2010-08-03
1255788949 Chi Health Connect At Home-fargo Home Health 1212 E Main Ave, Bismarck, ND 58501-4518 2016-05-23
1639484140 Chi Health Connect At Home-fargo Hospice Care, Community Based 1301 15th Ave W, Williston, ND 58801-3821 2010-08-10
1487969952 Chi Health Connect At Home-fargo Home Health 986 2nd Avenue West, Dickinson, ND 58601-3916 2010-08-09
1821303397 Chi Health Connect At Home-fargo Hospice Care, Community Based 1110 Highway 75 North, Suite A, Breckenridge, MN 56520-1117 2010-08-09
1083928048 Chi Health Connect At Home-fargo Home Health 1301 15th Ave W, Williston, ND 58801-3821 2010-08-02

Office Location

Street Address 367 2ND ST NW
City VALLEY CITY
State ND
Zip Code 58072-2971

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396050860 Chi Health Connect At Home - Fargo Hospice Care, Community Based 367 2nd St Nw, Valley City, ND 58072-2971 2010-08-09

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659330751 Mercy Hospital Home Health 243 Central Ave N, Valley City, ND 58072-2965 2006-03-20
1538150834 City County Health District Home Health 415 2nd Ave Ne Ste 101, Valley City, ND 58072-3060 2005-11-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1497356315 Nizhoni Healthcare Services, LLC Home Health 825 25th St S Ste F, Fargo, ND 58103-8724 2020-11-06
1255932794 Prohealth Home Care, Inc. Home Health 702 33rd Ave Sw, Minot, ND 58701-7368 2020-11-02
1487255931 Happy and Smile LLC Home Health 721 Memorial Hwy Ste 4, Bismarck, ND 58504-5398 2020-11-02
1053911669 Kylee Danks Home Health 616 Campbell Dr, Grand Forks, ND 58201-7342 2020-11-01
1598365264 Natasha Compeau Home Health 1115 26th Ave S Apt 20, Grand Forks, ND 58201-7074 2020-10-30
1902406085 Nodak Angels LLC Home Health 7 3rd St Se Ste 101, Minot, ND 58701-3916 2020-10-28
1598363418 Divine Home Care LLC Home Health 1544 E Gateway Cir S Apt 206, Fargo, ND 58103-3643 2020-10-13
1912524273 Jonta Delisa Tidwell Home Health 3026 18th St S, Fargo, ND 58103-6716 2020-07-01
1144844903 All Embracing Home Care, LLC Home Health 643 14th St Ne, Thompson, ND 58278-4310 2020-06-07
1043866015 Dakota Premier Home Care Home Health 2108 Eastbay Dr Se, Mandan, ND 58554-6271 2019-08-14
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Competitor

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City VALLEY CITY
Zip Code 58072

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Dataset Information

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.

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