Ecumen Home Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

332750 Issued in MN

Legal business name

ECUMEN HOME CARE

Practice address

6001 Earle Brown Dr
Brooklyn Center, MN 55430-2522

Phone

(763) 566-1495

NPI assigned

May 9, 2007

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 2

Other names 1

• The Prairie Lodge at Earle Brown Other name

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

CLIA laboratory certificates

Tax ID family

Ecumen Home Care Inc3 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.

• Ecumen Home Care, Inc

  • Home Health Agency
  • Minneapolis, MN
  • NPI 1255452280
  NPD tax ID
• Ecumen Home Care, Inc.

  • Home Health Agency
  • Minneapolis, MN
  • NPI 1366564114
  NPD tax ID

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497969455",
    "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": "551268164",
            "telephone_number": "651-766-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 EARLE BROWN DR",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302522",
            "telephone_number": "763-566-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECUMEN HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "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": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "332750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "4980500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "V202864571122603",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Prairie Lodge at Earle Brown",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Earle Brown Terrace Operations LLC
• East Home Health LLC
• Easy Nurture LLC
• Sawsan Abdulazez Ebrahim
• Karizzma Echols
• Eda, Inc
• Eda, Inc Dba Pearle Vision
• Dorothy Sue Edelson, PSY.D., L.P.
• Anne R Edwards
• Vanessa Louise Lynn Edwards

• Assisted Living Facility in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Assisted Living 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.
• 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.