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EMMANUEL NURSING HOME
NPI 1104830546
Skilled Nursing Facility in Litchfield, MN

Active since July 29, 2006CLIA 24D2025200 · Waiver
600 S DAVIS AVE, LITCHFIELD, MN 55355(320) 693-2472(320) 693-2242 Get Directions Write a Review

NPPES record last updated: November 8, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Emmanuel Nursing Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMMANUEL NURSING HOME (NPI 1104830546) is a healthcare organization registered as a skilled nursing facility in Litchfield, Minnesota and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through June 2, 2027 and lists Scott R Riddle, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1104830546
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameECUMEN
Location Address600 S DAVIS AVELitchfield, MN 55355-3431
Mailing Address3530 Lexington Ave NShoreview, MN 55126-8166 · (651) 766-4300 · Fax (651) 766-4479
Phone(320) 693-2472
Fax(320) 693-2242
Organization SubpartNo
Authorized OfficialScott R RiddleVp Of Finance · (651) 766-4300
Enumeration DateJuly 29, 2006
Last NPPES UpdateNovember 8, 2012
✔ NPI 1104830546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in MN · 356845
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
600 S DAVIS AVE, Litchfield, MN 55355
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Other Names 1

Doing Business AsEmmanuel Nursing Home

Other Identifiers 7

Other7122534Medica
Medicare ID-Type Unspecified245361
Medicaid134543500MN
Other31895Health Partners
Other03080201701Prime West
Other8766EMMN · Blue Cross Blue Shield
OtherNH0033MN · Ucare

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2025200

Ecumen Prairie Hill · St Peter, MN
Active · expires Jun 2, 2027
CLIA Number24D2025200
Laboratory TypeAssisted Living Facility
Certificate Effective DateJune 3, 2025
Certificate Expiration DateJune 2, 2027
Laboratory DirectorTami Haley
Laboratory Phone(651) 766-4300
Laboratory LocationEcumen Prairie Hill1305 Marshall Street, St Peter, MN 56082
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBYN ALICIA WESEN PT
Physical Therapist
600 S DAVIS AVE
LITCHFIELD, MN 55355
Meeker County (320) 693-6228
MRS. JUDITH KAREN KELLNER RPT
Physical Therapist
600 S DAVIS AVE
LITCHFIELD, MN 55355
Meeker County (320) 693-2472
MEEKER MANOR REHABILITATION CENTER LLC
Skilled Nursing Facility
600 S DAVIS AVE
LITCHFIELD, MN 55355
Meeker County (320) 693-2472

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ecumen's NPI number?

The NPI number for Ecumen is 1104830546. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Emmanuel Nursing Home.

Where is Ecumen located?

Ecumen is located at 600 S Davis Ave, Litchfield, MN 55355. The listed phone number is (320) 693-2472.

What is Ecumen's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Ecumen hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2025200) is associated with this NPI, valid through June 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ecumen was last updated on November 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.