Active NPI
Ecumen SBC Sartell Properties, LLC
- Assisted Living Facility
- Sartell, MN
National Provider Identifier
1104778190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- ECUMEN SBC SARTELL PROPERTIES, LLC
- Practice address
- 960 19TH St S
Sartell, MN 56377-2597 - Phone
- (320) 654-2352
- Fax
- (320) 200-3204
- NPI assigned
- Feb 11, 2026
- Organization subpart
- Yes
- Parent organization
- ECUMEN SBC, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Douglas Harrison
- Title
- Cfo
- Phone
- (651) 766-4300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
960 19TH St S
Sartell, MN 56377-2597
Mailing address
3530 Lexington Ave N
Shoreview, MN 55126-8166
Phone (651) 766-4300
Other names 1
- Chateau Waters
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2230495 | Chateau Waters | Certificate of waiver | Jul 25, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770854400000",
"number": "1104778190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3530 LEXINGTON AVE N",
"city": "SHOREVIEW",
"state": "MN",
"postal_code": "551268166",
"telephone_number": "651-766-4300",
"fax_number": "651-766-4479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 19TH ST S",
"city": "SARTELL",
"state": "MN",
"postal_code": "563772597",
"telephone_number": "320-654-2352",
"fax_number": "320-200-3204"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ECUMEN SBC SARTELL PROPERTIES, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ECUMEN SBC, INC.",
"enumeration_date": "2026-02-11",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A",
"authorized_official_last_name": "HARRISON",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "651-766-4300"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Chateau Waters",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sartell, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.