NPI 1215088521 · live from the CMS NPI Registry
Ecumen
Skilled Nursing Facility in Detroit Lakes, MN. National Provider Identifier 1215088521, active.
NPI record
| NPI | 1215088521 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 1415 Madison Ave, Detroit Lakes, MN 56501 |
| Practice phone | 218-847-4486 |
| Mailing address | 3530 Lexington Ave N, Shoreview, MN 55126 |
| Enumerated | January 15, 2007 |
| Last updated | April 22, 2026 |
| Authorized official | Douglas Harrison, Cfo |
| Other names | Emmanuel Nursing Home |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | — (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.