Ecumen

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

329434 Issued in MN

Legal business name

ECUMEN

Doing business as

Bethany Home of Alexandria

Practice address

1020 Lark St
Alexandria, MN 56308-2219

Phone

(320) 762-5316

NPI assigned

Mar 16, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kathryn R Roberts

Title

Ceo

Phone

(651) 766-4300

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Bethany Home of Alexandria Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154455343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 LARK ST",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082219",
            "telephone_number": "320-762-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 LARK ST",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082219",
            "telephone_number": "320-762-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECUMEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-766-4300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "329434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NH0516",
            "identifier": "UCARE",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "568340800",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIMEWEST",
            "identifier": "030802017",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethany Home of Alexandria",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dr Eleanor S Haney PC
• Dr. Tom Tardif, LLC (Resonance Physical Therapy)
• Elizabeth Driftmeyer
• Rachel Ann Earley
• Hailey Rose Ebacher
• Ecumen (Ecumen Home Care - Bethany)
• Ecumen Properties Inc. (Bethany Home Health Services)
• Edgewood Alexandria Senior Living LLC (Clearwater Suites)
• Thomas R Edwards, MD
• Ann Celeste Ehlert, PHARMD

• Skilled Nursing Facility in Alexandria, MN
• Providers in Alexandria, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.