National Provider Identifier Database

CHI HEALTH CONNECT AT HOME FARGO
Hospice Care, Community Based


Contact Information

CHI HEALTH CONNECT AT HOME-FARGO
1110 HIGHWAY 75 NORTH
SUITE A
BRECKENRIDGE, MN56520-1117
Phone: 218-643-2275
Fax: 218-643-2274
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for CHI HEALTH CONNECT AT HOME-FARGO

NPI Number 1821303397
Legal business name
LBN
CHI HEALTH CONNECT AT HOME-FARGO
Authorized official NICOLE PEYERL - (DIRECTOR OPERATIONS/AUTH OFFICIAL)
Entity Organization
Organization subpart Yes
Enumeration date 08/09/2010
Last updated 11/21/2025 - About 7 months ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 346249
  • MN Medicaid: 376289

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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