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EVENTIDE SENIOR LIVING COMMUNITIES LLC
NPI 1407984081
Alzheimer Center (Dementia Center) in West Fargo, ND

Active since March 02, 2007CLIA Certified · 2 labs
225 13TH AVENUE WEST, WEST FARGO, ND 58078(701) 478-6000 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Eventide Senior Living Communities Llc NPPES

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

EVENTIDE SENIOR LIVING COMMUNITIES LLC (NPI 1407984081) is a healthcare organization registered as an alzheimer center (dementia center) in West Fargo, North Dakota and active in the NPI registry since March 2007. The organization holds 2 active CLIA laboratory certificates and lists Wade E Stubson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1407984081
Entity TypeOrganization
Primary Taxonomy311500000X
Legal Business NameEVENTIDE SENIOR LIVING COMMUNITIES LLC
Location Address225 13TH AVENUE WESTWest Fargo, ND 58078
Mailing Address1405 7th St SMoorhead, MN 56560-3444 · (218) 233-7508
Phone(701) 478-6000
Organization SubpartNo
Authorized OfficialWade E StubsonCfo · 21829122216
Enumeration DateMarch 2, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1407984081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAlzheimer Center (Dementia Center)Nursing & Custodial Care Facilities
Taxonomy Code311500000X
License✔ Licensed in ND · 8100A
Definition
A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.
Also ListedAssisted Living FacilityTaxonomy 310400000X · License 63 (ND)
225 13TH AVENUE WEST, West Fargo, ND 58078
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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 35D1070916

Eventide Senior Living Communities, LLC D/B/A Sheyenne Crossings · West Fargo, ND
Active · expires Jul 11, 2027
CLIA Number35D1070916
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 12, 2025
Certificate Expiration DateJuly 11, 2027
Laboratory DirectorLizabeth M. Letness
Laboratory Phone(701) 478-6006
Laboratory LocationEventide Senior Living Communities, LLC D/B/A Sheyenne Crossings225 13th Ave W, West Fargo, ND 58078
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 35D2002740

Eventide Dba Sheyenne Crossings Care Center/Tcu · West Fargo, ND
Active · expires Jan 24, 2028
CLIA Number35D2002740
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJanuary 25, 2026
Certificate Expiration DateJanuary 24, 2028
Laboratory DirectorAlexandra Heppner
Laboratory Phone(701) 478-6000
Laboratory LocationEventide Dba Sheyenne Crossings Care Center/Tcu125 13th Ave W, West Fargo, ND 58078
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Senior Living Communities LLC's NPI number?

The NPI number for Eventide Senior Living Communities LLC is 1407984081. It was assigned to this organization in the NPPES registry on March 2, 2007.

Where is Eventide Senior Living Communities LLC located?

Eventide Senior Living Communities LLC is located at 225 13th Avenue West, West Fargo, ND 58078. The listed phone number is (701) 478-6000.

What is Eventide Senior Living Communities LLC's specialty?

The primary specialty registered for this NPI is Alzheimer Center (Dementia Center) with taxonomy code 311500000X.

Does Eventide Senior Living Communities 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.

When was this NPI record last updated?

The NPPES record for Eventide Senior Living Communities LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.