CHI HEALTH CONNECT AT HOME - FARGO


Address: 5300 12th St S, Fargo, ND 58104-4034
Phone: 8885380069

CHI HEALTH CONNECT AT HOME - FARGO (NPI# 1316501422) 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) 1316501422
Entity Type Organization
Organization Name CHI HEALTH CONNECT AT HOME - FARGO
Other Organization Name CHI HEALTH AT HOME
Practice Address 5300 12th St S
Fargo
ND 58104-4034
Mailing Address 4816 Amber Valley Pkwy S
Fargo
ND 58104-8404
Practice Telephone 8885380069
Mailing Telephone 7012378139
Mailing Fax Number 7012378188
Enumeration Date 2019-04-24
Last Update Date 2020-07-30
Authorized Official Name DEANNA KAINZ (DIRECTOR OF FINANCE)
Authorized Official Telephone 7012378139
Is Organization Subpart Y
Parent Organization Name COMMONSPIRIT HEALTH

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251G00000X Hospice Care, Community Based Agencies

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

Office Location

Street Address 5300 12TH ST S
City FARGO
State ND
Zip Code 58104-4034

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366006470 Chi Health Connect At Home - Fargo Home Health 5300 12th St S, Fargo, ND 58104-4034 2019-04-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043837347 Pinnacle Therapy & Wellness, Pllc Physical Therapist 4500 36th Ave S Suite 100, Fargo, ND 58104 2020-07-02
1619509858 Patricia Helen Bathie Counselor 4243 Auburn Ave., Fargo, ND 58104 2020-02-05
1346892866 Elizabeth Olis Registered Nurse 2633 55th St. S, Apartment 202, Fargo, ND 58104 2019-07-15
1780247023 Keith Kirimi Ndege Physical Therapy Assistant 5225 23rd Ave South, Fargo, ND 58104 2019-04-22
1346728557 Ms4 Pllc Pharmacy 4476 31st Avenue South, Suite #105, Fargo, ND 58104 2018-07-31
1891286977 Jessica Rae Majidian Dentist 3030 49th St S, Fargo, ND 58104 2018-05-23
1821588500 Alissa Nichole Larson Pharmacist 5675 26th Ave S St. 136a, Fargo, ND 58104 2018-05-17
1790297430 Northern Lights Dental Dentist 4150 19th Ave S, Suite 301, Fargo, ND 58104 2017-11-03
1619406733 Cobalt Rehabilitation Hospital Fargo LLC Rehabilitation Hospital 4671 38th Street S, Fargo, ND 58104 2017-06-12
1790210318 Homefield Health, LLC Clinic/Center 4141 31st Ave S., Ste 102, Fargo, ND 58104 2017-04-21
Find all providers in zip 58104

Taxonomy Information

Taxonomy Code 251G00000X
Grouping Agencies
Classification Hospice Care, Community Based

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588866685 Tami's Angels, Inc. Hospice Care, Community Based 624 Main Ave, Suite 10, Fargo, ND 58103-1966 2007-06-01
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
1598200529 Bek Care, LLC Hospice Care, Community Based 3361 45th St S Ste 100, Fargo, ND 58104 2016-12-29
1538253646 Hospice of The Red River Valley Hospice Care, Community Based 1701 38th St S, Fargo, ND 58103-4499 2006-10-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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
1225009038 Mercy Hospital of Devils Lake Hospice Care, Community Based 1031 7th St Ne, Devils Lake, ND 58301-2798 2006-01-30
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
1386178994 Edgewood Management Group Hospice Care, Community Based 322 Demers Ave, Suite 500, Grand Forks, ND 58201-4754 2017-04-20
1639484140 Chi Health Connect At Home-fargo Hospice Care, Community Based 1301 15th Ave W, Williston, ND 58801-3821 2010-08-10
1396050860 Chi Health Connect At Home - Fargo Hospice Care, Community Based 367 2nd St Nw, Valley City, ND 58072-2971 2010-08-09
1730306812 Hazen Memorial Hospital Association Hospice Care, Community Based 510 8th Ave Ne, Hazen, ND 58545-4637 2007-04-19
1609938661 St. Alexius Medical Center Hospice Care, Community Based 1212 E Main Ave, Bismarck, ND 58501 2006-12-15
Find all providers with the same taxonomy

Competitor

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City FARGO
Zip Code 58104

Improve Information

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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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