Organization Active NPI

Ecumen SBC St. Cloud Properties, LLC

  • Assisted Living Facility
  • Saint Cloud, MN
National Provider Identifier
1285584060
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ECUMEN SBC ST. CLOUD PROPERTIES, LLC
Practice address
1340 Minnesota Blvd
Saint Cloud, MN 56304-2435
Phone
(320) 252-0010
Fax
(320) 203-0952
NPI assigned
Jan 30, 2026
Organization subpart
Yes
Parent organization
ECUMEN SBC, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary
Alzheimer Center (Dementia Center) 311500000X

Addresses

Primary practice location

1340 Minnesota Blvd
Saint Cloud, MN 56304-2435

Mailing address

3530 Lexington Ave N
Shoreview, MN 55126-8166
Phone (651) 766-4300

Other identifiers 1

IdentifierTypeStateIssuer
A530690000MedicaidMN

Other names 1

  • Benedict Homes Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ability Network3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1769731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1285584060",
    "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": "1340 MINNESOTA BLVD",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563042435",
            "telephone_number": "320-252-0010",
            "fax_number": "320-203-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECUMEN SBC ST. CLOUD PROPERTIES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ECUMEN SBC, INC.",
        "enumeration_date": "2026-01-30",
        "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
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A530690000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benedict Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Cloud, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.