NPI 1407984081 EVENTIDE SENIOR LIVING COMMUNITIES LLC MOORHEAD MN. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Eventide Senior Living Communities Llc - NPI: 1407984081

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: EVENTIDE SENIOR LIVING COMMUNITIES LLC
NPI Number: 1407984081
Entity Type Code: Organizational (2)
Authorized Official Name: WADE E STUBSON
(CFO)
Mailing Address: 225 13th Avenue West
West Fargo
State: ND US
Postal Code: 58078
Phone Number: 7014786000
Fax Number:
NPI Enumeration Date: 03/02/2007
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 310400000X
License Number: 63
Healthcare Provider Taxonomy:
(Secondary)
X
State: ND
Taxonomy Type: Nursing & Custodial Care Facilities
Taxonomy Classification: Assisted Living Facility
Taxonomy Specialization:
Taxonomy Definition:
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.


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