NPI Code Detail JSON Logo

1285584060 NPI number — ECUMEN SBC ST. CLOUD PROPERTIES, LLC

NPI Number: 1285584060
Health Care Provider/Practitioner: ECUMEN SBC ST. CLOUD PROPERTIES, LLC

Information about “1285584060” NPI (ECUMEN SBC ST. CLOUD PROPERTIES, LLC) exists in 1285584060 in HTML format HTML  |  1285584060 in plain Text format TXT  |  1285584060 in PDF (Portable Document Format) PDF  |  1285584060 in an XML format XML  formats.

NPI Number : 1285584060 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1285584060",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "ECUMEN SBC, INC",
    "ParentOrgTIN": null,
    "OrgName": "ECUMEN SBC ST. CLOUD PROPERTIES, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3530 LEXINGTON AVE N",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SHOREVIEW",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55126-8166",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "651-766-4300",
    "MailingAddressFaxNumber": "651-766-4479",
    "FirstLinePracticeLocationAddress": "1340 MINNESOTA BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAINT CLOUD",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "56304-2435",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "320-252-0010",
    "PracticeLocationAddressFaxNumber": "320-203-0952",
    "EnumerationDate": "01/30/2026",
    "LastUpdateDate": "01/30/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HARRISON",
    "AuthorizedOfficialFirstName": "DOUGLAS",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CFO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "651-766-4300",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "311500000X",
          "TaxonomyName": "Alzheimer Center (Dementia Center)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "314000000X",
          "TaxonomyName": "Skilled Nursing Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.