Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Eventide

Organization Assisted Living Facility · NPI 1487705653

Eventide is an Assisted Living Facility in Moorhead, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
Specialties on file
2

Practice location Address checks out

1405 7th St S
Moorhead, MN 56560-3444
Phone: (218) 233-7508
Fax: (218) 233-3602
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 332819 (MN)
Skilled Nursing Facility Taxonomy 314000000X · Licence 00072 (MN)

Record details

NPI number1487705653
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wade Stubson — Cfo · (218) 291-2216
NPI enumeratedJanuary 15, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address1405 7th St S, Moorhead, MN 56560-3444

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Other providers in Moorhead