CHI HEALTH AT HOME
NPI 1083928048
Home Health in Williston, ND

Active since August 02, 2010CLIA 35D2095137 · Waiver
1301 15TH AVE W, WILLISTON, ND 58801(701) 774-7430(701) 774-7465 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 10, 2022, Sep 17, 2021, Jul 30, 2020 and 3 more (6 updates tracked since 2017).

About Chi Health At Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHI HEALTH AT HOME (NPI 1083928048) is a healthcare organization registered as a home health in Williston, North Dakota and active in the NPI registry since August 2010. The organization holds a CLIA Waiver certificate valid through April 29, 2027 and lists Nicole Peyerl, Director Operations/auth Official, as its authorized official.

NPPES Registry Identity

NPI1083928048
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameCHI HEALTH CONNECT AT HOME-FARGO
Location Address1301 15TH AVE WWilliston, ND 58801-3821
Mailing Address4265 45th St S Ste 200Fargo, ND 58104-4309 · (701) 237-8116 · Fax (701) 237-8188
Fax(701) 774-7465
Organization SubpartYesParent: Commonspirit Health
Authorized OfficialNicole PeyerlDirector Operations/auth Official · (701) 238-3206
Enumeration DateAugust 2, 2010
Last NPPES UpdateJanuary 22, 20246 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2024
NPI 1083928048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License Licensed in ND · 4033A
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.

1301 15TH AVE W, Williston, ND 58801

Other Names 1

Doing Business AsChi Health At Home

Other Identifiers 1

Medicaid4033ND

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 35D2095137

Chi Health Connect At Home - Fargo Dba Chi Health At Home · Williston, ND
Active · expires Apr 29, 2027
CLIA Number35D2095137
Laboratory TypeHome Health Agency
Certificate Effective DateApril 30, 2025
Certificate Expiration DateApril 29, 2027
Laboratory DirectorKaren Fixen-Bercier
Laboratory Phone(701) 774-7430
Laboratory LocationChi Health Connect At Home - Fargo Dba Chi Health At Home1301 15th Ave N, Williston, ND 58801
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
1301 15TH AVE W
WILLISTON, ND 58801
Radiology (Diagnostic Radiology)
1301 15TH AVE W
WILLISTON, ND 58801
Nurse Anesthetist, Certified Registered
1301 15TH AVE W
WILLISTON, ND 58801
Anesthesiology
1301 15TH AVE W
WILLISTON, ND 58801
Nurse Anesthetist, Certified Registered
1301 15TH AVE W
WILLISTON, ND 58801
Dietitian, Registered
1301 15TH AVE W
WILLISTON, ND 58801
Pathology (Anatomic Pathology & Clinical Pathology)
1301 15TH AVE W
WILLISTON, ND 58801
Dietitian, Registered
1301 15TH AVE W
WILLISTON, ND 58801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083928048, enumerated as an "organization" on August 02, 2010.

The provider is located at 1301 15TH AVE W WILLISTON, ND 58801 and the phone number is (701) 774-7430.

Home Health with taxonomy code 251E00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of North Dakota, Sanford. Please consult your insurance carrier or call the provider to verify.