CHI Health Connect at Home-Fargo
Organization Active NPI Home Health Agency · Bismarck, ND
NPI 1255788949 · NPPES record last updated Jul 15, 2026
Key facts
- NPI
- 1255788949
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- CHI HEALTH CONNECT AT HOME-FARGO
- Practice address
- 500 E Front Ave Ste 203
Bismarck, ND 58504-5689 - Phone
- (701) 530-4500
- Fax
- (701) 530-4572
- NPI assigned
- May 23, 2016
- Organization subpart
- Yes
- Parent organization (as reported)
- COMMONSPIRIT HEALTH
Authorized official
- Name
- Nicole Peyerl
- Title
- Director Operations/Auth Offical
- Phone
- (701) 238-3206
Other NPIs with the same Medicare PAC ID 11
Corporate family (same tax ID) 17
Change of ownership 1
Practitioners 2
-
Stacie Cleveland, FNP-C
-
Michelle A Cooley, NP-C
Affiliated clinicians 38
-
Laura Archuleta, M.D.
-
Jody M Bauer, PA-C
-
Stephanie Moore Canham, M.D.
-
Ryan Clauson, M.D.
-
Elizabeth Ashley Diffely, FNP-C
-
John A Erickstad, MD
-
Rick J Geier, MD
-
Donald H Grenz, MD
-
Matthew L. Hamar, D.O.
-
Renee K Harju, FNP
-
Brian J Hebert, MD
-
Forrest Leroy Hirsch, FNP-C
-
Bethany A Kraft, FNP-C
-
Kelly Brent Longie, M.D.
-
Eric J Lutzwick, NP-C
-
Megan Nicole Miller, FNP-BC
-
Alexis K Moe, DNP
-
Jason T Moe, MD
-
Mandy Kaye Rath, FNP, MSN, BSN
-
Roggie Reason, MD
Medicare Care Compare: Home health agency
- Listed as
- CHI Health at Home
- Overall star rating
- ★★★★☆ 4 of 5
- Ownership
- Non-Profit
- Certified
- Mar 11, 1980
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Home health agency certification: CCN 357016
- Legal name
- CHI HEALTH CONNECT AT HOME - FARGO
- Doing business as
- CHI HEALTH AT HOME
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 11, 1980
- Last certification
- Mar 27, 2019
- Ownership / control type
- Non-Profit
- Organization structure
- Corporation · Non-profit
- Incorporated
- Feb 10, 2010 in MN
- Enrollment address
- 1310 E Main Ave
Ste 339
Bismarck, ND 58501-4680
All disclosed owners & managing parties 8
| Name | Role | Since | Share |
|---|---|---|---|
| Commonspirit Health |
5% Or Greater Direct Ownership Interest | Dec 26, 2010 | 100% |
| Wendy L McGinley |
Corporate Director |
Jul 1, 2019 | |
| Nicole a Peyerl |
Corporate Officer |
Oct 1, 2021 | |
| W-2 Managing Employee |
Oct 1, 2021 | ||
| Gretchen K Dobervich |
Corporate Director |
Jan 1, 2018 | |
| Mary Quandt |
Corporate Director |
Jan 1, 2025 | |
| Caroline Stoltz |
Corporate Director |
Jan 1, 2025 | |
| Lance W Gulleson |
Corporate Director |
Jul 1, 2018 | |
| Gloria a Dohman |
Corporate Director |
Jul 1, 2017 |
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Oct 1, 2016 | Change of Ownership |
St Alexius Home Care and Hospice |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161012000129 | ND | Part a Provider - Home Health Agency | 4789870924 | Practice locations: Bismarck, ND |
National Provider Directory
- Tax ID family
- CHI Health Connect at Home
- Part of
- Catholic Health Initiatives
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | ND | Yes |
Addresses
Primary practice location
500 E Front Ave Ste 203
Bismarck, ND 58504-5689
Mailing address
4816 Amber Valley Parkway
Fargo, ND 58104-8404
Phone (701) 237-8116
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4037 | Medicaid | ND |
Other names
- CHI Health at Home
Other providers in Bismarck, ND
- Chuhsiu Cheng
- Carrie Marie Cherrey
- Suzie Cherwinski
- CHI Health Connect at Home - Fargo
- CHI Health Connect at Home - Fargo
- Children'S Speech Language Services
- Chiropractic Care Center PC
- Bekah Chouanard
- Ling Sing Chow
- Nicholas Christ
All providers in Bismarck, ND · Home Health Agency in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.