# CHI HEALTH CONNECT AT HOME-FARGO

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COMMONSPIRIT HEALTH
- **Other names:** CHI Health at Home
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1083928048
- **Legal business name:** COMMONSPIRIT HEALTH
- **Authorized official:** NICOLE PEYERL (DIRECTOR OPERATIONS/AUTH OFFICIAL)
- **Authorized official phone:** (701) 238-3206

## Contact information

- **Practice address:** 1301 15TH AVE W, WILLISTON, ND 58801-3821
- **Practice address phone:** (701) 774-7430
- **Practice address fax:** (701) 774-7465
- **Mailing address:** 4265 45TH ST S STE 200, FARGO, ND 58104-4309
- **Mailing address phone:** (701) 237-8116
- **Mailing address fax:** (701) 237-8188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 4033A | ND | — |
| 251E00000X | Home Health Agency | — | ND | Yes |

## Other

- **Enumeration date:** 08/02/2010
- **Last updated:** 01/22/2024