Eventide Fargo LLC
NPI 1164809562ActiveOrganization· Skilled Nursing Facility· Fargo, ND
Skilled Nursing Facility in Fargo, North Dakota, registered in NPPES in May 2015. The authorized official on file is Wade E. Stubson, Cfo. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1164809562 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 5, 2015 |
| Last updated in NPPES | Aug 10, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (ND) |
|---|
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