Eventide Senior Living Communities Llc in West Fargo - Assisted Living Facility
Eventide Senior Living Communities Llc - NPI 1407984081
Eventide Senior Living Communities Llc is a Assisted Living Facility in West Fargo, North Dakota. Eventide Senior Living Communities Llc practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Eventide Senior Living Communities Llc is 1407984081. The last update date is 2020-08-22.
Eventide Senior Living Communities Llc's current location address is 225 13th Avenue West, West Fargo, North Dakota. You can contact this provider via phone number 7014786000. The mailing address for Eventide Senior Living Communities Llc is 225 13th Avenue West, West Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eventide Senior Living Communities Llc |
|---|---|
| Address | 225 13th Avenue West, West Fargo, North Dakota |
| Phone Number | 7014786000 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Stubson E Wade |
| Telephone Number | 2182912221 |
NPI Number Detail
| NPI Number | 1407984081 |
|---|---|
| Provider Enumeration Date | 2007-03-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 225 13th Avenue West |
|---|---|
| City | West Fargo |
| State | North Dakota (ND) |
| Post Code | 58078 |
| Phone Number | 7014786000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
| Licence No | 63 |
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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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What is the unique 10-digit identification code assigned to Eventide Senior Living Communities Llc by the Centers for Medicare & Medicaid Services?
The Eventide Senior Living Communities Llc has been issued the NPI (National Provider Identifier) 1407984081, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Eventide Senior Living Communities Llc's physical address?
The Eventide Senior Living Communities Llc is physically located at 225 13Th Avenue West, in the city of West Fargo, ND, with the postal code 58078.
What is Eventide Senior Living Communities Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Eventide Senior Living Communities Llc is Assisted Living Facility, and the taxonomy code that categorizes this field of expertise is 310400000X.
When did Eventide Senior Living Communities Llc receive its 1407984081 assignment?
The Eventide Senior Living Communities Llc was assigned its 1407984081 on 2007-03-02, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Eventide Senior Living Communities Llc most recently updated or revised?
The information pertaining to Eventide Senior Living Communities Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.