NPIMap

Organization Active NPI

Ecumen

  • Home Health Agency
  • Duluth, MN
National Provider Identifier
1831115732
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
367357 Issued in MN
Legal business name
ECUMEN
Practice address
4000 London Rd
Duluth, MN 55804-2220
Phone
(218) 625-7849
Fax
(218) 625-8274
NPI assigned
Jul 14, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Douglas Harrison
Title
Cfo
Phone
(651) 766-4300

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Ecumen
    • Skilled Nursing Facility
    • Mankato, MN
    • NPI 1194745992
    CMS ownership 5% Or Greater Direct Ownership Interest
  • Ecumen
    • Skilled Nursing Facility
    • Detroit Lakes, MN
    • NPI 1215088521
    CMS ownership 5% Or Greater Direct Ownership Interest
  • Ecumen
    • Home Health Agency
    • Mankato, MN
    • NPI 1235270539
    CMS ownership Operational/Managerial Control
  • Ecumen
    • Skilled Nursing Facility
    • Duluth, MN
    • NPI 1326162413
    CMS ownership 5% Or Greater Direct Ownership Interest
  • Ecumen
    • Community Based Hospice Care Agency
    • Shoreview, MN
    • NPI 1376682781
    CMS ownership Operational/Managerial Control
  • Ecumen
    • Home Health Agency
    • Litchfield, MN
    • NPI 1497821425
    CMS ownership Operational/Managerial Control
  • Ecumen
    • Skilled Nursing Facility
    • North Branch, MN
    • NPI 1578602884
    CMS ownership 5% Or Greater Direct Ownership Interest

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Ecumen
    • Home Health Agency
    • Mankato, MN
    • NPI 1235270539
    CMS ownership 5% Or Greater Direct Ownership Interest, Operational/Managerial Control
  • Ecumen
    • Skilled Nursing Facility
    • North Branch, MN
    • NPI 1578602884
    CMS ownership 5% Or Greater Direct Ownership Interest

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 42

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

View all 42

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Affiliated clinicians 35

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 35

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ecumen Home Care LakeshoreCCN 247040
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
Jun 7, 1967
Medicare certification status
Active (Provider of Services file)
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
24D2007310Ecumen Home Care - Lakeshore4000 London Road, Duluth, MN 55804Certificate of waiverMay 12, 2028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Home health agency certification: CCN 247040

Medicare enrollment files
Legal name
ECUMEN
Doing business as
ECUMEN HOME CARE- LAKESHORE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 7, 1967
Last certification
Nov 8, 2019
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Nov 30, 1923 in MN
Enrollment address
4000 London Rd
Duluth, MN 55804-2220
HHA Branch

All disclosed owners & managing parties 22

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Marcia Kull Individual Corporate DirectorBoard Jul 1, 2023
Operational/Managerial ControlBoard Member Jul 1, 2023
Jan Marie Conlin Individual Corporate DirectorBoard Secretary May 21, 2020
Operational/Managerial ControlBoard Member May 21, 2020
Peter Burton Schuna Individual Corporate DirectorBoard May 22, 2024
Operational/Managerial ControlBoard Member May 22, 2024
James Stephen McAlpine Individual Corporate OfficerSVP & General Counsel May 20, 2021 100%
W-2 Managing EmployeeSVP & General Counsel Feb 8, 2021
Operational/Managerial ControlSVP Legal Affairs & Gen. Counsel Feb 8, 2021
Tina Marie Palmer Individual Corporate OfficerSVP, Chief Mission Advncmnt Officer May 22, 2024 100%
W-2 Managing EmployeeSVP Chief Mission Advancement Offic Feb 29, 2024
Operational/Managerial ControlSVP Chief Mission Advancement Offic Feb 29, 2024
John Petraborg Individual Corporate DirectorBoard Jun 1, 2020
Operational/Managerial ControlBoard Member Jun 1, 2020
Jeanette Lynne Augustson Individual Corporate DirectorBoard Vice Chair May 18, 2022
Operational/Managerial ControlBoard Member May 18, 2022
Brent D Iserman Individual Corporate DirectorBoard Feb 25, 2025
Operational/Managerial ControlBoard Member Feb 25, 2025
Diane Haugen Pederson Individual Corporate DirectorBoard Member Sep 30, 2025
Operational/Managerial ControlBoard Member Sep 30, 2025
Margene Toraason Reno Individual Corporate DirectorBoard Member Sep 9, 2025
Operational/Managerial ControlBoard Member Sep 9, 2025
Susan R Bergstrom Individual Corporate DirectorBoard Feb 25, 2025
Operational/Managerial ControlBoard Member Feb 25, 2025
Ecumen Organization, Shoreview, MN Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Apr 28, 2010 100%
Clair Ann Juarez Individual W-2 Managing EmployeeClinical Director Nov 14, 2018 100%
Operational/Managerial ControlClinical Director Nov 14, 2018 100%
Cyrus Mun Batheja Individual Corporate OfficerPresident/Ceo Mar 23, 2023 100%
W-2 Managing EmployeePresident/Ceo Mar 23, 2026
Operational/Managerial ControlPresident/Ceo Mar 23, 2026 100%
Tami Jo Haley Individual Corporate OfficerSVP, Chief Nursing Officer Aug 18, 2022 100%
W-2 Managing EmployeeSVP, Chief Nursing Officer Aug 18, 2022
Operational/Managerial ControlSVP Chief Nursing Officer May 18, 2022
Ecumen Organization, Shoreview, MN Operational/Managerial Control Jun 1, 2010 100%
Joy Marie Plamann Individual Corporate DirectorBoard May 22, 2024
Operational/Managerial ControlBoard Member May 22, 2024
Douglas Clyde Harrison Individual Corporate OfficerCfo, SVP of Finance Jan 16, 2025 100%
W-2 Managing EmployeeCfo, SVP of Finance Sep 23, 2024
Operational/Managerial ControlSVP & Cfo Jan 16, 2025
Nils Warren Snyder Individual Corporate DirectorBoard Aug 21, 2024
Operational/Managerial ControlBoard Member Aug 21, 2024
Sharlene Miata Getaweh Individual Corporate DirectorBoard Member Feb 25, 2025
Operational/Managerial ControlBoard Member Feb 25, 2025
Mary W Frey Individual Corporate DirectorBoard Member Aug 21, 2024
Operational/Managerial ControlBoard Member Aug 21, 2024
Emily Ann Laxdal Sommer Individual Corporate OfficerAssistant Secretary May 22, 2024
W-2 Managing EmployeeExecutive Assistant Sep 16, 2014
Operational/Managerial ControlAssistant Secretary May 22, 2024

All facility ownership & control disclosures 2

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ecumen North BranchNorth Branch, MN, CCN 245370 Skilled nursing facility 5% Or Greater Direct Ownership Interest Jan 1, 1988
Ecumen Home Care - PathstoneMankato, MN, CCN 247224 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 24, 1982
Jun 24, 1982

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20100623000272 WI Part a Provider - Home Health Agency 5890602882 Practice locations: Duluth, MN

National Provider Directory

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 367357 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

4000 London Rd
Duluth, MN 55804-2220

Mailing address

3530 Lexington Ave N
Shoreview, MN 55126-8166
Phone (218) 625-7849

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
958553200MedicaidMN

Other names 1

NPPES NPI Registry
  • Ecumen Home Care - Lakeshore Doing business as

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSumission/2_0/NhinService/XDRRequest_Service Other Ability Network

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 22, 2026.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1831115732",
    "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": "218-625-7849",
            "fax_number": "651-766-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 LONDON RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558042220",
            "telephone_number": "218-625-7849",
            "fax_number": "218-625-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECUMEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "367357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "958553200",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSumission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ecumen Home Care - Lakeshore",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ecumen Home Care - Lakeshore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.