NPIMap

Organization Active NPI

CHI Health Connect at Home-Fargo

Doing business as CHI Health at Home

  • Home Health Agency
  • Breckenridge, MN
National Provider Identifier
1972817732
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CHI HEALTH CONNECT AT HOME-FARGO
Doing business as
CHI Health at Home
Practice address
1110 Highway 75 North
Suite a
Breckenridge, MN 56520-1117
Phone
(218) 643-2275
Fax
(218) 643-2274
NPI assigned
Aug 3, 2010
Last updated
Nov 21, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMONSPIRIT HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nicole Peyerl
Title
Director Operations/Auth Official
Phone
(701) 238-3206

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 348264 MN
Home Health Agency 251E00000X MN Primary

Addresses

Primary practice location

1110 Highway 75 North
Suite a
Breckenridge, MN 56520-1117

Mailing address

4265 45TH St S Ste 200
Fargo, ND 58104-4309
Phone (701) 237-8116

Other identifiers 1

IdentifierTypeStateIssuer
375611MedicaidMN

Other names 1

  • CHI Health at Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110105001082 MN Part A Provider - Home Health Agency 4789870924 Practice locations: Breckenridge, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972817732. Details of each certification follow.

Home health agency certification: CCN 247213

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
Feb 26, 1986
Last certification
Dec 19, 2019
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Feb 10, 2010 in MN
Enrollment address
1110 Highway 75 North, Suite a
Breckenridge, MN 56520-1117
HHA Branch

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
CHI Health at HomeCCN 247213 · All quality measures
Overall star rating
3 of 5
Ownership
Non-Profit
Certified
Feb 26, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
CHI Health Connect at Home18 organizations share this tax ID, including this one
Part of
Catholic Health Initiatives

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Glenda S Reemts Individual Corporate DirectorBoard Member Oct 1, 2018
Commonspirit Health Organization, Englewood, CO Corporation, Non-profit 5% Or Greater Direct Ownership Interest Dec 26, 2010 100%
Wendy L McGinley Individual Corporate DirectorBoard Member Jul 1, 2019
Lloyd H Dean Individual Operational/Managerial ControlChain Home Office Administrator Mar 29, 2022
Mary P Burger Individual Corporate DirectorBoard Member, Secretary&Treasure Jul 1, 2014
Nicole a Peyerl Individual Corporate DirectorAuthorized Official Jan 24, 2022
W-2 Managing EmployeeMarket Vice President of Operations Sep 7, 2021
Douglas a Harildstad Individual Corporate DirectorBoard Member, Vice Chair Person Jul 1, 2011
Kevin E Lofton Individual Corporate Director Dec 26, 2010
Gretchen K Dobervich Individual Corporate DirectorBoard Member Jan 1, 2018
Chad D Peterson Individual Corporate DirectorBoard Member, Chairperson Jul 1, 2014
Lance W Gulleson Individual Corporate DirectorBoard Member Jul 1, 2018
Gloria a Dohman Individual Corporate DirectorBoard Member Jul 1, 2017
Jeffrey Drop Individual Corporate Director Dec 26, 2010

Practitioners & affiliated clinicians

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1972817732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4265 45TH ST S STE 200",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044309",
            "telephone_number": "701-237-8116",
            "fax_number": "701-237-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 HIGHWAY 75 NORTH",
            "address_2": "SUITE A",
            "city": "BRECKENRIDGE",
            "state": "MN",
            "postal_code": "565201117",
            "telephone_number": "218-643-2275",
            "fax_number": "218-643-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHI HEALTH CONNECT AT HOME-FARGO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMONSPIRIT HEALTH",
        "enumeration_date": "2010-08-03",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "PEYERL",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "DIRECTOR OPERATIONS/AUTH OFFICIAL",
        "authorized_official_telephone_number": "701-238-3206"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "348264",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375611",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHI Health at Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHI Health at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Breckenridge, MN

Sources for this page

Verify at the official NPI Registry.