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Ecumen — NPI 1013386788, Fargo, ND | NPI Central

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NPI 1013386788

OrganizationActive

Ecumen

NPI 1013386788 · Assisted Living Facility · Fargo, ND

Provider details

NPI number: 1013386788
Entity type: Organization
Primary specialty: Assisted Living FacilityNursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Douglas Harrison, Cfo(651) 766-4300
License: 8045 (ND)

Specialties & taxonomies

Assisted Living FacilityPrimary310400000XLicense 8045 (ND)
Nursing & Custodial Care Facilities

Practice location

1405 W Gateway Cir S

Fargo, ND 58103-3529

Phone: (701) 239-4524

Approximate (ZIP-level) locationGet directions

More ND providers

Mailing address

3530 Lexington Ave N

Shoreview, MN 55126-8166

Other names (DBA / former)

Doing business as: The Evergreens of Fargo-1405

Registry dates

Enumerated: 2015-09-23
Last updated: 2026-04-22
Certified: 2026-04-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.