NPI 1104830546 · live from the CMS NPI Registry
Ecumen
Skilled Nursing Facility in Litchfield, MN. National Provider Identifier 1104830546, active.
NPI record
| NPI | 1104830546 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 600 S Davis Ave, Litchfield, MN 55355 |
| Practice phone | 320-693-2472 |
| Mailing address | 3530 Lexington Ave N, Shoreview, MN 55126 |
| Enumerated | July 29, 2006 |
| Last updated | November 8, 2012 |
| Authorized official | Scott Riddle, Vp Of Finance |
| Other names | Emmanuel Nursing Home |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | 356845 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.