Eventide
NPI 1487705653ActiveOrganization· Assisted Living Facility· Moorhead, MN
Assisted Living Facility in Moorhead, Minnesota, registered in NPPES in January 2007. The authorized official on file is Wade E. Stubson, Cfo. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1487705653 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 15, 2007 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | 332819 | MN |
| Skilled Nursing Facility | 314000000X | 00072 | MN |
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 (MN) |
|---|
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