ECUMEN (NPI# 1013386788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013386788 |
| Entity Type | Organization |
| Organization Name | ECUMEN |
| Other Organization Name | THE EVERGREENS OF FARGO-1405 |
| Practice Address |
1405 W Gateway Cir S Fargo ND 58103-3529 |
| Mailing Address |
3530 Lexington Ave N Shoreview MN 55126-8166 |
| Practice Telephone | 7012394524 |
| Mailing Telephone | 6517664300 |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-23 |
| Authorized Official Name | CYNTHIA R MOWAN (VP OF FINANCE) |
| Authorized Official Telephone | 6517664300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 8045 | ND | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| The Evergreens of Fargo-1405 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679815336 | Ecumen | Assisted Living Facility | 708 Mound Ave, Mankato, MN 56001-1645 | 2013-03-20 |
| 1821347477 | Ecumen | Assisted Living Facility | 700 Knight St, Saint Peter, MN 56082-1739 | 2012-08-29 |
| 1639495039 | Ecumen | Home Health | 3530 Lexington Ave N, Shoreview, MN 55126-8166 | 2010-04-12 |
| 1124234554 | Ecumen | Assisted Living Facility | 650 El Dorado St, Owatonna, MN 55060 | 2007-05-15 |
| 1588878086 | Ecumen | Assisted Living Facility | 512 3rd Ave S, Moorhead, MN 56560-2703 | 2007-05-10 |
| 1538373048 | Ecumen | Assisted Living Facility | 14625 Pennock Ave, Apple Valley, MN 55124-3502 | 2007-05-10 |
| 1033323001 | Ecumen | Assisted Living Facility | 113 1st St Sw, New Richland, MN 56072-1200 | 2007-05-09 |
| 1265646236 | Ecumen | Assisted Living Facility | 1801 Collegeway, Worthington, MN 56187-3075 | 2007-05-09 |
| 1649484601 | Ecumen | Assisted Living Facility | 1200 Lakewood Dr N, Maplewood, MN 55119-7601 | 2007-05-09 |
| 1811101884 | Ecumen | Assisted Living Facility | 2480 Saint Paul Rd, Owatonna, MN 55060-2455 | 2007-05-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ECUMEN | 5380 383rd St, North Branch, MN 55056 |
| System for Award Management (SAM) Entities | ECUMEN SCENIC SHORES (SNF) | 402 13th Ave, Two Harbors, MN 55616-1267 |
| Indiana Business Entities | ECUMENICAL CATHOLIC CHURCH + USA CORPORATION | 995 Beech Rd Se, Laconia, IN 47135 |
| Connecticut Business Registrations | ECUMENICAL CATHOLIC CHURCH, INC. THE | 20 Lincoln, Irvine, CA 92604 |
| Indiana Business Entities | ECUMENICAL CATHOLIC DIOCESE OF SAINT FRANCIS, INC. | 995 Beech Road, Laconia, IN 47135 |
| System for Award Management (SAM) Entities | ECUMENICAL CENTER FOR RELIGION & HEALTH | 8310 Ewing Halsell Dr, San Antonio, TX 78229-3715 |
| Indiana Business Entities | ECUMENICAL CENTER FOR STEWARDSHIP STUDIES, INC. | 660 E. Butterfield Road, Lombard, IL 60148 |
| System for Award Management (SAM) Entities | ECUMENICAL CHURCH LOAN FUND | 1082, Philips Road, Impala, Dstv Building, Arusha, Dar Es Salaam, , TZA |
| Connecticut Business Registrations | ECUMENICAL CHURCH OF HARTFORD INC. | 714 Prospect Avenue, Hartford, CT 06105 |
| Oregon Corporations, Companies and Business Names | ECUMENICAL CHURCH OF THE DIVINE | 18940 Sw Pilkington Rd, Lake Oswego, OR 97035 |
| Street Address |
1405 W GATEWAY CIR S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-3529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619148467 | Edgewood Fargo Senior Living, LLC | Assisted Living Facility | 4420 37th Ave S, Fargo, ND 58104-3400 | 2008-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072294 | Wp-arc Minot Holdings, LLC | Assisted Living Facility | 601 24th Ave Sw, Minot, ND 58701-7099 | 2020-11-01 |
| 1285231407 | Unsong Ringuette | Assisted Living Facility | 1608 16th St Nw, Minot, ND 58703-1114 | 2020-10-01 |
| 1295342822 | Park View Manor LLC | Assisted Living Facility | 618 8th Ave Ne, Rolla, ND 58367-7345 | 2020-09-28 |
| 1083239776 | Altru Health System | Assisted Living Facility | 4004 24th Ave S, Grand Forks, ND 58201-8863 | 2020-06-09 |
| 1437621885 | Edgewood Minot Senior Living, LLC | Assisted Living Facility | 520 28th Ave, Minot, ND 58208 | 2018-12-26 |
| 1891241139 | Edgewood Jamestown,llc | Assisted Living Facility | 322 Demers Ave, Suite 500, Grand Forks, ND 58201-4754 | 2016-08-28 |
| 1306243647 | Edgewood Mandan, LLC | Assisted Living Facility | 2801 39th Ave Se, Mandan, ND 58554-6430 | 2014-12-02 |
| 1225437460 | New Town Health Support Corporation | Assisted Living Facility | 603 1st Street Nw, New Town, ND 58763 | 2014-08-13 |
| 1639501141 | Lakewood Landing, Inc. | Assisted Living Facility | 4401 21st St Se, Mandan, ND 58554 | 2013-08-07 |
| 1326481722 | Parkwood Senior Living | Assisted Living Facility | 749 S 30th St, Grand Forks, ND 58201-4084 | 2013-04-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.