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Ecumen

Organization Active NPI Assisted Living Facility · Worthington, MN

NPI 1265646236 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1265646236
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
License
335238 (MN)
Legal business name
ECUMEN
Practice address
1801 Collegeway
Worthington, MN 56187-3075
Phone
(507) 372-7838
NPI assigned
May 9, 2007
Organization subpart
No

Authorized official

Name
Kathryn R Roberts
Title
Ceo
Phone
(651) 766-4300

Corporate family (same tax ID) 42

Organizations that report the same tax identification number in the National Provider Directory.

View all 42

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D1048703Ecumen Worthington the Meadows
1801 Collegeway, Worthington, MN 56187		Certificate of waiverDec 7, 2027

National Provider Directory

Tax ID family
Martin Luther Manor (43 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 335238 MN Yes

Addresses

Primary practice location

1801 Collegeway
Worthington, MN 56187-3075

Mailing address

3530 Lexington Ave N
Shoreview, MN 55126-8164
Phone (651) 766-4300

Other identifiers

IdentifierTypeStateIssuer
118417200MedicaidMN

Other names

  • Meadows of Worthington Other name

Other providers in Worthington, MN

All providers in Worthington, MN · Assisted Living Facility in Minnesota

Sources for this page

Verify at the official NPI Registry.