CHI HEALTH AT HOME - BRECKENRIDGE
NPI 1215511167
Clinic/Center - Health Service in Breckenridge, MN
About Chi Health At Home - Breckenridge NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHI HEALTH AT HOME - BRECKENRIDGE (NPI 1215511167) is a healthcare organization registered as a health service in Breckenridge, Minnesota and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through March 4, 2027 and lists Nicole Peyerl, Director Operations/auth Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 24D0858119
Chi Health Connect At Home-Fargo Dba Chi Health At Home · Breckenridge, MNFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Chi Health Connect At Home-Fargo's NPI number?
The NPI number for Chi Health Connect At Home-Fargo is 1215511167. It was assigned to this organization in the NPPES registry on May 7, 2021. The provider is doing business as Chi Health At Home - Breckenridge.
Where is Chi Health Connect At Home-Fargo located?
Chi Health Connect At Home-Fargo is located at 1110 Highway 75 N Ste A, Breckenridge, MN 56520. The listed phone number is (218) 643-2275.
What is Chi Health Connect At Home-Fargo's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Does Chi Health Connect At Home-Fargo hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D0858119) is associated with this NPI, valid through March 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Chi Health Connect At Home-Fargo was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Chi Health At Home - Breckenridge · NPI 1215511167
Health Service organization in Breckenridge, Minnesota. Organization record, active in the CMS NPPES registry since May 7, 2021.
## Identity
- **NPI:** 1215511167 (Entity type: Organization)
- **Enumerated:** May 7, 2021
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Legal business name:** Chi Health Connect At Home-Fargo
- **Organization subpart:** No
- **Authorized official:** Nicole Peyerl, DIRECTOR OPERATIONS/AUTH OFFICIAL
## Practice location
- **Address:** 1110 HIGHWAY 75 N STE A, Breckenridge, MN 56520-1108
- **Phone:** (218) 643-2275
## Record status
- **NPPES last updated:** January 22, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1215511167) · Data from the CMS NPPES public registry.