MEDICARE: ECUMEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	332127	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811101884
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ECUMEN

Provider Business Mailing Address
First Line	:	3530 LEXINGTON AVE N
Second Line	:
City	:	SHOREVIEW
State	:	MN
Zip	:	55126-8164
Country	:	US
Telephone Number	:	651-766-4300
Fax Number	:

Provider Business Practice Location Address
First Line	:	2480 SAINT PAUL RD
Second Line	:
City	:	OWATONNA
State	:	MN
Zip	:	55060-2455
Country	:	US
Telephone Number	:	507-446-0611
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	KATHRYN R ROBERTS
Credential	:
Telephone Number	:	651-766-4300

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	08/29/2012

Similar Medicare Providers

1396699807 — MISS MICHELLE SORENSEN MSN RN PHN SANE
Practice Location Address:

2250 NW 26TH ST
OWATONNA, MN
55060-5503

Practice Phone: 507-977-2000
Practice Fax:

1033077409 — RENEWAL OASIS WELLNESS CENTER P.C.
Practice Location Address:

202 N CEDAR AVE STE 1
OWATONNA, MN
55060-2306

Practice Phone: 952-373-6005
Practice Fax:

1043163546 — ABIGAIL YANEFF
Practice Location Address:

2250 NW 26TH ST
OWATONNA, MN
55060-5503

Practice Phone: 507-451-3850
Practice Fax:

1295271971 — LACEY THERESA THOMPSON MSW, LICSW
Practice Location Address:

202 N CEDAR AVE STE 1
OWATONNA, MN
55060-2306

Practice Phone: 651-249-0047
Practice Fax:

1255408951 — EAT WELL NUTRITION THERAPY, LLC
Practice Location Address:

207 W HOLLY ST
OWATONNA, MN
55060-3959

Practice Phone: 507-390-0229
Practice Fax:

1932197225 — LOUANNE P. KAUPA RDN, LN, CDCES
Practice Location Address:

207 W HOLLY ST STE B
OWATONNA, MN
55060-3960

Practice Phone: 507-390-0229
Practice Fax: 507-451-3322

Directions to “ECUMEN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.