Eventide Fargo LLC
NPI 1164809562 · Skilled Nursing Facility · Fargo, ND
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Eventide Fargo LLC is a Skilled Nursing Facility organization in Fargo, ND (NPI 1164809562).
Provider details
- NPI number
- 1164809562
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Wade Stubson, Cfo(218) 291-2216
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Eventide Fargo
Registry dates
- Enumerated
- 2015-05-05
- Last updated
- 2016-08-10
Frequently asked questions
- What is Eventide Fargo LLC's NPI number?
- Eventide Fargo LLC's National Provider Identifier (NPI) is 1164809562, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eventide Fargo LLC?
- Eventide Fargo LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Eventide Fargo LLC located?
- Eventide Fargo LLC's practice location on file with NPPES is 3225 51st St S, Fargo, ND 58104-7180.
- What is Eventide Fargo LLC's phone number?
- The practice phone number listed in the NPPES registry for Eventide Fargo LLC is (218) 291-2230.
- Does Eventide Fargo LLC accept Medicare?
- Eventide Fargo LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Eventide Fargo LLC?
- The authorized official listed on Eventide Fargo LLC's NPPES record is Wade Stubson, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eventide Fargo LLC's NPI active?
- Yes — Eventide Fargo LLC's NPI (1164809562) is active in the NPPES registry as of the last update on 2016-08-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.