Eventide Senior Living Communities LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

8100A Issued in ND

Legal business name

EVENTIDE SENIOR LIVING COMMUNITIES LLC

Practice address

225 13TH Avenue West
West Fargo, ND 58078

Phone

(701) 478-6000

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Wade E Stubson

Title

Cfo

Phone

21829122216

Specialties & licenses 2

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1407984081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 7TH ST S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565603444",
            "telephone_number": "218-233-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 13TH AVENUE WEST",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "58078",
            "telephone_number": "701-478-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVENTIDE SENIOR LIVING COMMUNITIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "STUBSON",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "21829122216",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ND",
            "license": "63",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "ND",
            "license": "8100A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Erin Erstad, DPT
• Jaeda Kerin Ertelt, FNP-C
• Michelle Eskelson
• Heidi N Eukel, PHARM D
• Eventide
• Onyekachukwu Oluebubechukwu Eyimegwu, PHARMD
• Faith Home Care
• Anab Farah
• Kayla Farahmand
• Abigail Faulkner

• Alzheimer Center (Dementia Center) in West Fargo, ND
• Providers in West Fargo, ND by specialty
• Alzheimer Center (Dementia Center) in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.

Verify at the official NPI Registry.