Healthcare Provider Details

I. General information

NPI: 1487585030
Provider Name (Legal Business Name): EBUNCARES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

819 26TH AVE N
SAINT CLOUD MN
56303-2430
US

IV. Provider business mailing address

819 26TH AVE N
SAINT CLOUD MN
56303-2430
US

V. Phone/Fax

Practice location:
  • Phone: 918-812-9662
  • Fax: 320-323-3399
Mailing address:
  • Phone: 918-812-9662
  • Fax: 320-323-3399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: LEONARD O ORORORO
Title or Position: ADMINISTRATOR
Credential: ORORORO
Phone: 918-812-9662