ECUMEN NPI 1538373048

NPI Information

  • NPI: 1538373048
  • Provider Name: ECUMEN
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Other Name: CENTENNIAL HOUSE OF APPLE VALLEY
  • CLIA Number: 24D1037012
  • Address: 14625 PENNOCK AVE
    APPLE VALLEY, MN
    ZIP 55124
  • Phone: (952) 891-2711

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NPI Details

ECUMEN is an assisted living facility in Apple Valley, MN. The provider is 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. ECUMEN NPI is 1538373048. The provider is registered as an organization entity type.
The provider Other Name Is Centennial House Of Apple Valley.

The provider's business location address is:

14625 PENNOCK AVE
APPLE VALLEY, MN
ZIP 55124-502
Phone: (952) 891-2711

The provider's authorized official is Kathryn R Roberts .
The authorized official title is Ceo and has the following contact phone number (651) 766-4300.

The CLIA number assigned to this NPI record is 24D1037012 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 8/22/2020.

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 Facility335383MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1897917100MEDICAIDMINNESOTA
2171671OTHERUCARE

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: 3/30/2025

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