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CHI HEALTH AT HOME - BRECKENRIDGE
NPI 1215511167
Clinic/Center - Health Service in Breckenridge, MN

Active since May 07, 2021CLIA 24D0858119 · Waiver
1110 HIGHWAY 75 N STE A, BRECKENRIDGE, MN 56520(218) 643-2275 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: May 16, 2022, Feb 10, 2022, Sep 17, 2021 and 1 more (4 updates tracked since 2021).

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

NPI1215511167
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameCHI HEALTH CONNECT AT HOME-FARGO
Location Address1110 HIGHWAY 75 N STE ABreckenridge, MN 56520-1108
Mailing Address4265 45th St S Ste 200Fargo, ND 58104-4309 · (888) 538-0069 · Fax (701) 237-8199
Phone(218) 643-2275
Organization SubpartNo
Authorized OfficialNicole PeyerlDirector Operations/auth Official · (701) 238-3206
Enumeration DateMay 7, 2021
Last NPPES UpdateJanuary 22, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2024
✔ NPI 1215511167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
1110 HIGHWAY 75 N STE A, Breckenridge, MN 56520
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Other Names 1

Doing Business AsChi Health At Home - Breckenridge

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, MN
Active · expires Mar 4, 2027
CLIA Number24D0858119
Laboratory TypeHome Health Agency
Certificate Effective DateMarch 5, 2025
Certificate Expiration DateMarch 4, 2027
Laboratory DirectorLisa Hanowski
Laboratory Phone(218) 643-2275
Laboratory LocationChi Health Connect At Home-Fargo Dba Chi Health At Home1110 Highway 75 N, Breckenridge, MN 56520
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is CHI HEALTH CONNECT AT HOME-FARGO's NPI number?

The NPI number assigned to this healthcare provider is 1215511167, enumerated as an "organization" on May 07, 2021.

Where is the provider located?

The provider is located at 1110 HIGHWAY 75 N STE A BRECKENRIDGE, MN 56520 and the phone number is (218) 643-2275.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.