Active NPI
Ecumen
Doing business as Ecumen Hospice
- Community Based Hospice Care Agency
- Detroit Lakes, MN
National Provider Identifier
1871165142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- ECUMEN
- Doing business as
- Ecumen Hospice
- Practice address
- 1415 Madison Ave
Detroit Lakes, MN 56501-4542 - Phone
- (651) 714-0200
- Fax
- (651) 714-0201
- NPI assigned
- Jul 15, 2021
- Last updated
- Jul 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Scott Bjerkevedt
- Title
- VP of Finance
- Phone
- (651) 766-4300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
1415 Madison Ave
Detroit Lakes, MN 56501-4542
Mailing address
3530 Lexington Ave N
Shoreview, MN 55126-8166
Phone (651) 766-4375
Other names 1
- Ecumen Hospice
National Provider Directory
National Provider Directory- Tax ID family
- Mahnomen Health Center
Other organizations with this tax ID 42
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Owatonna, MN
- NPI 1124234554
-
- Assisted Living Facility
- Worthington, MN
- NPI 1265646236
-
dba Ecumen Lakeshore Transportation
- Non-emergency Medical Transport (VAN)
- Duluth, MN
- NPI 1376800045
Locations
1415 Madison Ave
Detroit Lakes, MN 56501
Phone (218) 844-7119
38794 6th Ave
North Branch, MN 55056
Phone (651) 714-0200
7541 9th St N
#200
Oakdale, MN 55128
Phone (651) 714-0200
7561 9th St N
Ste 200
Oakdale, MN 55128
Phone (651) 714-0200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626307200000",
"number": "1871165142",
"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": "651-766-4375",
"fax_number": "651-766-4310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 MADISON AVE",
"city": "DETROIT LAKES",
"state": "MN",
"postal_code": "565014542",
"telephone_number": "651-714-0200",
"fax_number": "651-714-0201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ECUMEN",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-15",
"last_updated": "2021-07-15",
"certification_date": "2021-07-15",
"status": "A",
"authorized_official_last_name": "BJERKEVEDT",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "VP OF FINANCE",
"authorized_official_telephone_number": "651-766-4300",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ecumen Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Detroit Lakes, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.