ECUMEN (NPI# 1326162413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326162413 |
| Entity Type | Organization |
| Organization Name | ECUMEN |
| Other Organization Name | LAKESHORE LUTHERAN HOME |
| Practice Address |
4002 London Rd Duluth MN 55804-2243 |
| Practice Telephone | 2186257825 |
| Mailing Telephone | 2186257825 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2008-06-13 |
| Authorized Official Name | KATHRYN R ROBERTS (CEO) |
| Authorized Official Telephone | 6517664300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 332007 | MN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 001043000 | 05 | |
| MEDICA | 7122649 | 01 | |
| MN | BCBS | 8614LA | 01 |
| UCARE | NH0212 | 01 |
| Other Name | Type Code |
|---|---|
| Lakeshore Lutheran Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013386788 | Ecumen | Assisted Living Facility | 1405 W Gateway Cir S, Fargo, ND 58103-3529 | 2015-09-23 |
| 1679815336 | Ecumen | Assisted Living Facility | 708 Mound Ave, Mankato, MN 56001-1645 | 2013-03-20 |
| 1821347477 | Ecumen | Assisted Living Facility | 700 Knight St, Saint Peter, MN 56082-1739 | 2012-08-29 |
| 1639495039 | Ecumen | Home Health | 3530 Lexington Ave N, Shoreview, MN 55126-8166 | 2010-04-12 |
| 1124234554 | Ecumen | Assisted Living Facility | 650 El Dorado St, Owatonna, MN 55060 | 2007-05-15 |
| 1588878086 | Ecumen | Assisted Living Facility | 512 3rd Ave S, Moorhead, MN 56560-2703 | 2007-05-10 |
| 1538373048 | Ecumen | Assisted Living Facility | 14625 Pennock Ave, Apple Valley, MN 55124-3502 | 2007-05-10 |
| 1033323001 | Ecumen | Assisted Living Facility | 113 1st St Sw, New Richland, MN 56072-1200 | 2007-05-09 |
| 1265646236 | Ecumen | Assisted Living Facility | 1801 Collegeway, Worthington, MN 56187-3075 | 2007-05-09 |
| 1649484601 | Ecumen | Assisted Living Facility | 1200 Lakewood Dr N, Maplewood, MN 55119-7601 | 2007-05-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ECUMEN | 5380 383rd St, North Branch, MN 55056 |
| System for Award Management (SAM) Entities | ECUMEN SCENIC SHORES (SNF) | 402 13th Ave, Two Harbors, MN 55616-1267 |
| Indiana Business Entities | ECUMENICAL CATHOLIC CHURCH + USA CORPORATION | 995 Beech Rd Se, Laconia, IN 47135 |
| Connecticut Business Registrations | ECUMENICAL CATHOLIC CHURCH, INC. THE | 20 Lincoln, Irvine, CA 92604 |
| Indiana Business Entities | ECUMENICAL CATHOLIC DIOCESE OF SAINT FRANCIS, INC. | 995 Beech Road, Laconia, IN 47135 |
| System for Award Management (SAM) Entities | ECUMENICAL CENTER FOR RELIGION & HEALTH | 8310 Ewing Halsell Dr, San Antonio, TX 78229-3715 |
| Indiana Business Entities | ECUMENICAL CENTER FOR STEWARDSHIP STUDIES, INC. | 660 E. Butterfield Road, Lombard, IL 60148 |
| System for Award Management (SAM) Entities | ECUMENICAL CHURCH LOAN FUND | 1082, Philips Road, Impala, Dstv Building, Arusha, Dar Es Salaam, , TZA |
| Connecticut Business Registrations | ECUMENICAL CHURCH OF HARTFORD INC. | 714 Prospect Avenue, Hartford, CT 06105 |
| Oregon Corporations, Companies and Business Names | ECUMENICAL CHURCH OF THE DIVINE | 18940 Sw Pilkington Rd, Lake Oswego, OR 97035 |
| Street Address |
4002 LONDON RD |
| City | DULUTH |
| State | MN |
| Zip Code | 55804-2243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326609389 | Joel Hintsala | Physical Therapist | 4002 London Rd, Duluth, MN 55804-2243 | 2019-06-20 |
| 1033776950 | Zabida Bacchus | Occupational Therapy Assistant | 4002 London Rd, Duluth, MN 55804-2243 | 2019-05-27 |
| 1326520818 | Laura Schoessow | Physical Therapist | 4002 London Rd, Duluth, MN 55804-2243 | 2018-08-31 |
| 1043791056 | Emily Gutfleisch | Occupational Therapist | 4002 London Rd, Duluth, MN 55804-2243 | 2018-08-27 |
| 1801316872 | Mason Bacso | Physical Therapist | 4002 London Rd, Duluth, MN 55804-2243 | 2017-06-21 |
| 1447708219 | Jean Eleanor Popelka | Physical Therapy Assistant | 4002 London Rd, Duluth, MN 55804-2243 | 2016-09-21 |
| 1982150454 | Courtney Bellmore | Physical Therapy Assistant | 4002 London Rd, Duluth, MN 55804-2243 | 2016-08-25 |
| 1629422506 | Pamella Perich | Occupational Therapy Assistant | 4002 London Rd, Duluth, MN 55804-2243 | 2016-04-18 |
| 1316391535 | Christine Nelson | Physical Therapy Assistant | 4002 London Rd, Duluth, MN 55804-2243 | 2016-04-14 |
| 1881058915 | Lee Hollingsworth | Physical Therapy Assistant | 4002 London Rd, Duluth, MN 55803-2243 | 2016-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235593591 | Michelle Leblanc | Speech-Language Pathologist | 5017 London Rd., Duluth, MN 55804 | 2016-04-12 |
| 1346541075 | Christina Finlo | Marriage & Family Therapist | 4849 Ivanhoe St, Duluth, MN 55804 | 2010-11-11 |
| 1821301623 | Rachel Gabrielle Ashford | Social Worker | 5107 E Superior St, Duluth, MN 55804 | 2010-07-21 |
| 1932381423 | Janet Florence Lewis | Registered Nurse | 4231 Dodge Street, Duluth, MN 55804 | 2007-11-27 |
| 1245419894 | Ernest Carl Hansen | Physical Therapist | 4002 London Rd., Duluth, MN 55804 | 2007-10-31 |
| 1316011596 | Melissa J. Janzen | Chiropractor | 4731 E Superior St, Duluth, MN 55804 | 2006-11-20 |
| 1861406522 | Susan Klee Anderson | Family Medicine | 4621 E Superior St., Duluth, MN 55804 | 2006-07-28 |
| 1104886977 | Sarah Adeen Ziring | Physical Therapist | 4621 E Superior St, Duluth, MN 55804 | 2006-03-24 |
| 1285831040 | Janzen Chiropractic Pa | Chiropractor | 4731 E Superior St, Duluth, MN 55804 | 2007-06-27 |
| 1912121708 | Cooley Chiropractic Clinic, Inc. | Chiropractor | 5722 Homestead Rd, Duluth, MN 55804 | 2007-04-12 |
| Find all providers in zip 55804 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326187642 | Ecumen | Skilled Nursing Facility | 1601 Saint Louis Ave, Duluth, MN 55802-2442 | 2007-02-05 |
| 1245387372 | Chris Jensen LLC | Skilled Nursing Facility | 2501 Rice Lake Rd, Duluth, MN 55811-4819 | 2007-01-04 |
| 1174571996 | Duluth Health Services | Skilled Nursing Facility | 3111 Church Pl, Duluth, MN 55811 | 2006-05-04 |
| 1114975059 | Franciscan Health Center Inc | Skilled Nursing Facility | 3910 Minnesota Ave, Duluth, MN 55802-2553 | 2006-05-04 |
| 1093775991 | Benedictine Care Centers | Skilled Nursing Facility | 7700 Grand Ave, Duluth, MN 55807-2154 | 2006-03-24 |
| 1891755849 | Benedictine Health Center | Skilled Nursing Facility | 935 Kenwood Ave, Duluth, MN 55811-4951 | 2006-03-24 |
| 1275981532 | Duluth Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 1601 Saint Louis Ave, Duluth, MN 55802-2442 | 2016-05-27 |
| 1548616014 | The North Shore Estates LLC | Skilled Nursing Facility | 7700 Grand Ave, Duluth, MN 55807-2154 | 2016-05-13 |
| 1386006955 | Duluth Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 1601 Saint Louis Ave, Duluth, MN 55802-2442 | 2016-03-23 |
| 1104265644 | Bayshore Duluth Management, LLC | Skilled Nursing Facility | 1601 Saint Louis Ave, Duluth, MN 55802-2442 | 2013-06-18 |
| Find all providers in DULUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.