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NPI Code Detail

MEDICARE: ECUMEN

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
1311500000XAlzheimer Center (Dementia Center)
2310400000XAssisted Living Facility

Other Identifiers

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

General Provider Information

NPI Number : 1912857392
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 : 55126-8166
Country : US
Telephone Number : 651-766-4300
Fax Number : 651-766-4479
Provider Business Practice Location Address
First Line : 1670 LEGACY PKWY E
Second Line :
City : MAPLEWOOD
State : MN
Zip : 55109-5469
Country : US
Telephone Number : 651-756-1859
Fax Number : 651-756-1754
Authorized Official
Title or Position : CFO
Name : DOUGLAS HARRISON
Credential :
Telephone Number : 651-766-4300
Provider Enumeration Date : 02/03/2026
Last Update Date : 02/03/2026

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Directions to “ECUMEN ” Practice Location

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