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EVENTIDE
NPI 1487705653
Assisted Living Facility in Moorhead, MN

Active since January 15, 2007CLIA Certified · 2 labs
1405 7TH ST S, MOORHEAD, MN 56560(218) 233-7508(218) 233-3602 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

About Eventide NPPES

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

EVENTIDE (NPI 1487705653) is a healthcare organization registered as an assisted living facility in Moorhead, Minnesota and active in the NPI registry since January 2007. The organization holds 2 active CLIA laboratory certificates and lists Wade E Stubson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1487705653
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEVENTIDE
Location Address1405 7TH ST SMoorhead, MN 56560-3444
Mailing Address1405 7th St SMoorhead, MN 56560-3444 · (218) 233-7508 · Fax (218) 233-3602
Phone(218) 233-7508
Fax(218) 233-3602
Organization SubpartNo
Authorized OfficialWade E StubsonCfo · (218) 291-2216
Enumeration DateJanuary 15, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1487705653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in MN · 332819
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Also ListedSkilled Nursing FacilityTaxonomy 314000000X · License 00072 (MN)
1405 7TH ST S, Moorhead, MN 56560
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.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 24D0688820

Eventide Lutheran Home · Moorhead, MN
Active · expires Aug 31, 2026
CLIA Number24D0688820
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorBrittni Berg
Laboratory Phone(218) 233-7508
Laboratory LocationEventide Lutheran Home1405 7th Street South, Moorhead, MN 56560
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2243799

Eventide The Linden · Moorhead, MN
Active · expires Nov 22, 2027
CLIA Number24D2243799
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 23, 2025
Certificate Expiration DateNovember 22, 2027
Laboratory DirectorSofia Spaeth
Laboratory Phone(218) 291-2225
Laboratory LocationEventide The Linden1500 7th St S, Moorhead, MN 56560
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

SARAH NORDICK MOTR/L
Occupational Therapist
1405 7TH ST S
MOORHEAD, MN 56560
Clay County (218) 291-2261
JANICE MUELLER
Occupational Therapist
1405 7TH ST S
MOORHEAD, MN 56560
Clay County (281) 291-2294
CRYSTAL MARIE LINK MOTR/L, CLT
Occupational Therapist
1405 7TH ST S
MOORHEAD, MN 56560
Clay County (701) 880-8573
CHELSEA IRMEN DPT
Physical Therapist
1405 7TH ST S
MOORHEAD, MN 56560
Clay County (218) 233-7508
MRS. SHARON RAE ARNOLD PT
Physical Therapist
1405 7TH ST S
MOORHEAD, MN 56560
Clay County (218) 291-2284
SARAH NORDIN MOTR/L
Occupational Therapist
1405 7TH ST S
MOORHEAD, MN 56560
Clay County (218) 779-0866
DEBRA REMARK PT
Physical Therapist
1405 7TH ST S
MOORHEAD, MN 56560
Clay County (218) 291-2284
DR. BRANDON MCCORMICK PT, DPT
Physical Therapist
1405 7TH ST S
MOORHEAD, MN 56560
Clay County (218) 233-7508

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's NPI number?

The NPI number for Eventide is 1487705653. It was assigned to this organization in the NPPES registry on January 15, 2007.

Where is Eventide located?

Eventide is located at 1405 7th St S, Moorhead, MN 56560. The listed phone number is (218) 233-7508.

What is Eventide's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Eventide 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.

What insurance does Eventide accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Eventide 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 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 10 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.