ECUMEN
NPI 1508716986
Assisted Living Facility in Duluth, MN

Active since February 03, 2026CLIA 24D1085847 · Waiver
4000 LONDON RD, DULUTH, MN 55804(218) 625-8280 Get Directions Write a Review

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

About Ecumen NPPES

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

ECUMEN (NPI 1508716986), doing business as Ecumen Duluth The Shores, is a healthcare organization registered as an assisted living facility in Duluth, Minnesota and active in the NPI registry since February 2026. The organization holds a CLIA Waiver certificate valid through June 26, 2028 and lists Douglas Harrison, Cfo, as its authorized official.

NPPES Registry Identity

NPI1508716986
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameECUMEN
Location Address4000 LONDON RDDuluth, MN 55804-2220
Mailing Address3530 Lexington Ave NShoreview, MN 55126-8166 · (651) 766-4300 · Fax (651) 766-4479
Organization SubpartNo
Authorized OfficialDouglas HarrisonCfo · (651) 766-4300
Enumeration DateFebruary 3, 2026
Last NPPES UpdateFebruary 11, 2026
NPPES CertifiedFebruary 11, 2026
NPI 1508716986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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 ListedAlzheimer Center (Dementia Center)Taxonomy 311500000X
4000 LONDON RD, Duluth, MN 55804

Other Names 1

Doing Business AsEcumen Duluth The Shores

Other Identifiers 1

MedicaidA487677000MN

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 24D1085847

Ecumen Duluth The Shores · Duluth, MN
Active · expires Jun 26, 2028
CLIA Number24D1085847
Laboratory TypeHome Health Agency
Certificate Effective DateJune 27, 2026
Certificate Expiration DateJune 26, 2028
Laboratory DirectorTami Haley
Laboratory Phone(218) 625-8280
Laboratory LocationEcumen Duluth The Shores4000 London Road, Duluth, MN 55804
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Occupational Therapist
4000 LONDON RD
DULUTH, MN 55804
Home Health
4000 LONDON RD
DULUTH, MN 55804

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 1508716986. It was assigned to this organization in the NPPES registry on February 3, 2026. The provider is doing business as Ecumen Duluth The Shores.

Where is Ecumen located?

Ecumen is located at 4000 London Rd, Duluth, MN 55804. The listed phone number is (218) 625-8280.

What is Ecumen's specialty?

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

Does Ecumen hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1085847) is associated with this NPI, valid through June 26, 2028. 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 February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.