EVENTIDE SENIOR LIVING COMMUNITIES LLC NPI 1407984081

NPI Information

  • NPI: 1407984081
  • Provider Name: EVENTIDE SENIOR LIVING COMMUNITIES LLC
  • Classification: Alzheimer Center (Dementia Center) - 311500000X
  • Entity Type: Organization
  • Address: 225 13TH AVENUE WEST
    WEST FARGO, ND
    ZIP 58078
  • Phone: (701) 478-6000

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NPI Details

EVENTIDE SENIOR LIVING COMMUNITIES LLC is an alzheimer center dementia center in West Fargo, ND. The provider is a freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. EVENTIDE SENIOR LIVING COMMUNITIES LLC NPI is 1407984081. The provider is registered as an organization entity type.

The provider's business location address is:

225 13TH AVENUE WEST
WEST FARGO, ND
ZIP 58078
Phone: (701) 478-6000

The provider's authorized official is Wade E Stubson .
The authorized official title is Cfo and has the following contact phone number 21829122216.

The enumeration date for this NPI number is 3/2/2007 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility63NORTH DAKOTANo
2311500000XAlzheimer Center (Dementia Center)8100ANORTH DAKOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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