Organization · Type 2 NPI

Eventide

Assisted Living Facility · Moorhead, MN

NPI number 1487705653 Active

Practice location

1405 7th St S
Moorhead, MN 56560-3444

Call (218) 233-7508 Map

Fax (218) 233-3602

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X332819 (MN)
Skilled Nursing Facility 314000000X00072 (MN)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1487705653

Eventide's National Provider Identifier is 1487705653, issued on Jan 15, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Moorhead, MN. The record was last updated on Sep 11, 2025.