Emmanuel Nursing Home

LBN: Ecumen
Emmanuel Nursing Home is an health care organization with primary practice located at 1415 Madison Ave , Detroit Lakes MN 56501-4542. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Ecumen can be contacted via phone (218) 847-4486, or through Bjerkevedt, Scott via phone (651) 766-4300.

Contact Information

Primary practice address
1415 Madison Ave Detroit Lakes MN 56501-4542
Fax: (218) 847-4488
Website:
Authorized official contact:
Name: Bjerkevedt, Scott

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X Minnesota

Profile Details

NPI number 1215088521
LBN Legal business name Ecumen
DBA Doing business as Emmanuel Nursing Home
Authorized official Bjerkevedt, Scott
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2007
Last updated May 7th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215088521 NPPES
Minnesota Other 30323 NORTH DAKOTA MA
Minnesota MEDICAID 726040700 NORTH DAKOTA MA
Minnesota Other 8613EM NORTH DAKOTA MA
Minnesota Other 7122692 NORTH DAKOTA MA

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