Ecumen
Organization Active NPI Assisted Living Facility · Owatonna, MN
NPI 1124234554 · NPPES record last updated Apr 22, 2026
Key facts
- NPI
- 1124234554
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 334372 (MN)
- Legal business name
- ECUMEN
- Practice address
- 650 El Dorado St
Owatonna, MN 55060 - Phone
- (507) 446-8334
- NPI assigned
- May 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Douglas Harrison
- Title
- Cfo
- Phone
- (651) 766-4300
Corporate family (same tax ID) 42
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D1075998 | Countryside Catered Senior Living | Certificate of waiver | Nov 1, 2027 |
National Provider Directory
- Tax ID family
- Martin Luther Manor
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 334372 | MN | Yes |
| Alzheimer Center (Dementia Center) | 311500000X |
Addresses
Primary practice location
650 El Dorado St
Owatonna, MN 55060
Mailing address
3530 Lexington Ave N
Shoreview, MN 55126-8166
Phone (651) 766-4300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42402000 | Medicaid | MN |
Other names
- Countryside Catered Senior Living
Other providers in Owatonna, MN
- Samantha Dullum
- Barbara L Durbahn
- Jessica Dusbabek
- Eat Well Nutrition Therapy, LLC
- Lisa M Eckhoff
- Ecumen
- Kevin Andrew Egan
- Jibril Ibrahim Elabe
- Elevated Living Solutions
- Elite Aesthetics PLLC
All providers in Owatonna, MN · Assisted Living Facility in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.