# EVENTIDE SENIOR LIVING COMMUNITIES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407984081
- **Authorized official:** MR. WADE E STUBSON (CFO)
- **Authorized official phone:** 21829122216

## Contact information

- **Practice address:** 225 13TH AVENUE WEST, WEST FARGO, ND 58078
- **Practice address phone:** (701) 478-6000
- **Mailing address:** 1405 7TH ST S, MOORHEAD, MN 56560-3444
- **Mailing address phone:** (218) 233-7508

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 63 | ND | — |
| 311500000X | Alzheimer Center (Dementia Center) | 8100A | ND | Yes |

## Other

- **Enumeration date:** 03/02/2007
- **Last updated:** 09/11/2025