THE EVERGREENS OF FARGO-1401 - NPI 1861878225 - Assisted Living Facility in Shoreview, MN

Q: What is the provider's specialty?

The provider's specialty is Assisted Living Facility with taxonomy code 310400000X.

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About The Evergreens Of Fargo-1401 NPPES

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

THE EVERGREENS OF FARGO-1401 (NPI 1861878225) is a healthcare organization registered as an assisted living facility in Shoreview, Minnesota and active in the NPI registry since August 2015. The organization lists Kathryn R Roberts, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1861878225

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameECUMEN

Location Address3530 LEXINGTON AVE NShoreview, MN 55126-8166

Mailing Address3530 Lexington Ave NShoreview, MN 55126-8166 · (651) 766-4300

Phone(651) 766-4300

Organization SubpartNo

Authorized OfficialKathryn R RobertsCeo/president · (651) 766-4300

Enumeration DateAugust 7, 2015

✔ NPI 1861878225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

3530 LEXINGTON AVE N, Shoreview, MN 55126

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Other Names 1

Doing Business AsThe Evergreens Of Fargo-1401

Other Providers at the Same Location NPPES 5

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

ECUMEN

Assisted Living Facility