EVENTIDE FARGO
NPI 1164809562
Skilled Nursing Facility in Fargo, ND

Active since May 05, 2015CLIA Certified · 2 labs
3/5
Overall Rating
3225 51ST ST S, FARGO, ND 58104(218) 291-2230 Get Directions Write a Review

NPPES record last updated: August 10, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eventide Fargo NPPES

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

EVENTIDE FARGO (NPI 1164809562) is a healthcare organization registered as a skilled nursing facility in Fargo, North Dakota and active in the NPI registry since May 2015. The organization holds 2 active CLIA laboratory certificates and lists Wade E Stubson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1164809562
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEVENTIDE FARGO LLC
Location Address3225 51ST ST SFargo, ND 58104-7180
Mailing Address2405 8th St S, Suite AMoorhead, MN 56560-4224 · (218) 291-2230 · Fax (218) 477-3250
Organization SubpartNo
Authorized OfficialWade E StubsonCfo · (218) 291-2216
Enumeration DateMay 5, 2015
Last NPPES UpdateAugust 10, 2016
NPI 1164809562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
3225 51ST ST S, Fargo, ND 58104

Other Names 1

Doing Business AsEventide Fargo

Other Identifiers 2

Medicare OSCAR/certification355127ND
Medicaid1467362ND

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

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 35D2104644

Eventide Fargo · Fargo, ND
Active · expires Nov 9, 2027
CLIA Number35D2104644
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateNovember 10, 2025
Certificate Expiration DateNovember 9, 2027
Laboratory DirectorSharilyn Althoff
Laboratory Phone(701) 478-1800
Laboratory LocationEventide Fargo3225 51st St S, Fargo, ND 58104
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 35D2107432

Eventide Fargo Assisted Living · Fargo, ND
Active · expires Jan 12, 2028
CLIA Number35D2107432
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 13, 2026
Certificate Expiration DateJanuary 12, 2028
Laboratory DirectorJuli Martinson
Laboratory Phone(701) 478-1800
Laboratory LocationEventide Fargo Assisted Living5250 32nd Ave S, Fargo, ND 58104
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Eventide Fargo (CMS certification number 355127), from CMS Care Compare.

Eventide Fargo

Nursing home · Fargo, ND
3/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number355127
Certified Beds98 beds94 residents per day on average
Medicare & Medicaid Participant SinceMay 25, 2016
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
18.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
1 totaling $7,585.30
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES

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

Occupational Therapist
3225 51ST ST S
FARGO, ND 58104

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 Eventide Fargo LLC's NPI number?

The NPI number for Eventide Fargo LLC is 1164809562. It was assigned to this organization in the NPPES registry on May 5, 2015. The provider is doing business as Eventide Fargo.

Where is Eventide Fargo LLC located?

Eventide Fargo LLC is located at 3225 51st St S, Fargo, ND 58104. The listed phone number is (218) 291-2230.

What is Eventide Fargo LLC's specialty?

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

Does Eventide Fargo LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

Is Eventide Fargo LLC a Medicare-certified nursing home?

Yes. Eventide Fargo is a Medicare-certified nursing home with 98 certified beds.

What quality rating does Eventide Fargo LLC have?

CMS rates Eventide Fargo 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Eventide Fargo LLC accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Eventide Fargo LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eventide Fargo LLC was last updated on August 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.