Organization Active NPI

Ecumen

Doing business as Bethany Assisted Living in Litchfield

  • Skilled Nursing Facility
  • Litchfield, MN
National Provider Identifier
1790635175
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ECUMEN
Doing business as
Bethany Assisted Living in Litchfield
Practice address
203 N Armstrong Ave
Litchfield, MN 55355-2272
Phone
(320) 221-2311
Fax
(320) 373-2200
NPI assigned
Feb 3, 2026
Last updated
Feb 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 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
Alzheimer Center (Dementia Center) 311500000X
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

203 N Armstrong Ave
Litchfield, MN 55355-2272

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
A417660100MedicaidMN

Other names 1

  • Bethany Assisted Living in Litchfield Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2056827Bethany Assisted Living in Litchfield203 North Armstrong Ave, Litchfield, MN 55355Certificate of waiverApr 3, 2027

National Provider Directory

National Provider Directory
Tax ID family
MCV Clinic43 organizations share this tax ID, including this one

Other organizations with this tax ID 42

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

View all 42

Locations

203 N Armstrong Ave
Litchfield, MN 55355
Phone (320) 221-2311

NPI Registry JSON

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

{
    "created_epoch": "1770076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1790635175",
    "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": "203 N ARMSTRONG AVE",
            "city": "LITCHFIELD",
            "state": "MN",
            "postal_code": "553552272",
            "telephone_number": "320-221-2311",
            "fax_number": "320-373-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECUMEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-03",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "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": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A417660100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethany Assisted Living in Litchfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Litchfield, MN

Sources for this page

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

Verify at the official NPI Registry.