Active NPI
Ecumen SBC Sartell Properties, LLC
Doing business as Chateau Waters Memory Care
- Assisted Living Facility
- Sartell, MN
National Provider Identifier
1164294864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- ECUMEN SBC SARTELL PROPERTIES, LLC
- Doing business as
- Chateau Waters Memory Care
Sartell Therapy Suites - Practice address
- 990 19TH St S
Sartell, MN 56377-2596 - Phone
- (320) 534-3000
- NPI assigned
- Oct 25, 2023
- Last updated
- Feb 12, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | NU | Primary | |
| Alzheimer Center (Dementia Center) | 311500000X | NU |
Addresses
Primary practice location
990 19TH St S
Sartell, MN 56377-2596
Mailing address
3530 Lexington Ave N
Shoreview, MN 55126-8166
Phone (651) 766-4300
Other names 2
- Chateau Waters Memory Care
- Sartell Therapy Suites
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSumission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
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 |
|---|---|---|---|
| 24D2333363 | Chateau Waters Memory Care | Certificate of waiver | Nov 3, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Saint Cloud, MN
- NPI 1144219056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770854400000",
"number": "1164294864",
"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": "651-766-4310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "990 19TH ST S",
"city": "SARTELL",
"state": "MN",
"postal_code": "563772596",
"telephone_number": "320-534-3000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ECUMEN SBC SARTELL PROPERTIES, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ECUMEN SBC, INC.",
"enumeration_date": "2023-10-25",
"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": "NU",
"license": null,
"primary": true
},
{
"code": "311500000X",
"taxonomy_group": "",
"desc": "Alzheimer Center (Dementia Center)",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSumission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "64 S Price Rd",
"city": "Brownsville",
"state": "TX",
"country_code": "US",
"postal_code": "785212459",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Chateau Waters Memory Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Sartell Therapy Suites",
"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.