EVENTIDE JAMESTOWN LLC
NPI 1215256078
Skilled Nursing Facility in Jamestown, ND

Active since May 19, 2010CLIA Certified · 2 labs
1/5
Overall Rating
1300 2ND PL NE, JAMESTOWN, ND 58401(218) 233-7508 Get Directions Write a Review

NPPES record last updated: April 11, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eventide Jamestown Llc NPPES

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

EVENTIDE JAMESTOWN LLC (NPI 1215256078) is a healthcare organization registered as a skilled nursing facility in Jamestown, North Dakota and active in the NPI registry since May 2010. The organization holds 2 active CLIA laboratory certificates and lists Wade E Stubson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1215256078
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEVENTIDE JAMESTOWN LLC
Location Address1300 2ND PL NEJamestown, ND 58401-3709
Mailing Address1405 7th St SMoorhead, MN 56560-3444 · (218) 233-7508
Organization SubpartNo
Authorized OfficialWade E StubsonCfo · (218) 291-2216
Enumeration DateMay 19, 2010
Last NPPES UpdateApril 11, 2011
NPI 1215256078 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.
1300 2ND PL NE, Jamestown, ND 58401

Other Identifiers 1

Medicare OSCAR/certification355078

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 35D2139857

Eventide Jamestown Senior Living · Jamestown, ND
Active · expires Nov 8, 2027
CLIA Number35D2139857
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 9, 2025
Certificate Expiration DateNovember 8, 2027
Laboratory DirectorShelby Richardson
Laboratory Phone(701) 952-5800
Laboratory LocationEventide Jamestown Senior Living114 12th Ave NE, Jamestown, ND 58401
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 35D0698920

Eventide Jamestown · Jamestown, ND
Active · expires Aug 31, 2026
CLIA Number35D0698920
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorAshley Wentland
Laboratory Phone(701) 252-5881
Laboratory LocationEventide Jamestown1300 2nd Place NE, Jamestown, ND 58401
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 Jamestown (CMS certification number 355078), from CMS Care Compare.

Eventide Jamestown

Nursing home · Jamestown, ND
1/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number355078
Certified Beds81 beds76 residents per day on average
Medicare & Medicaid Participant SinceOctober 1, 1978
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
3/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
2/5
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.
39.33
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
Infection-Control Citations
0
Fines
1 totaling $9,217.00
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 3

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

Physical Therapy Assistant
1300 2ND PL NE
JAMESTOWN, ND 58401
Occupational Therapist
1300 2ND PL NE
JAMESTOWN, ND 58401
Physical Therapy Assistant
1300 2ND PL NE
JAMESTOWN, ND 58401

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 Jamestown LLC's NPI number?

The NPI number for Eventide Jamestown LLC is 1215256078. It was assigned to this organization in the NPPES registry on May 19, 2010.

Where is Eventide Jamestown LLC located?

Eventide Jamestown LLC is located at 1300 2nd Pl NE, Jamestown, ND 58401. The listed phone number is (218) 233-7508.

What is Eventide Jamestown LLC's specialty?

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

Does Eventide Jamestown 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 Jamestown LLC a Medicare-certified nursing home?

Yes. Eventide Jamestown is a Medicare-certified nursing home with 81 certified beds.

What quality rating does Eventide Jamestown LLC have?

CMS rates Eventide Jamestown 1 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 Jamestown LLC accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Eventide Jamestown 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 Jamestown LLC was last updated on April 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.