Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eventide Senior Living Communities LLC

Organization Assisted Living Facility · NPI 1407984081

Eventide Senior Living Communities LLC is an Assisted Living Facility in West Fargo, North Dakota. Licensed in North Dakota. Registered with an NPI since 2007.

Licensed in
ND
In the registry since
2007
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

225 13th Ave W
West Fargo, ND 58078
Phone: (701) 478-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Alzheimer Center (Dementia Center) (primary) Taxonomy 311500000X · Licence 8100A (ND)
Assisted Living Facility Taxonomy 310400000X · Licence 63 (ND)

Record details

NPI number1407984081
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wade Stubson — Cfo · 21829122216
NPI enumeratedMarch 2, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address1405 7th St S, Moorhead, MN 56560-3444

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