Eventide
Eventide is a healthcare organization registered as Assisted Living Facility in Moorhead, MN, holding Type 2 (organization) NPI 1487705653 since 2007. The authorized official on file is Wade Stubson, Cfo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1487705653 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Eventide |
| Practice address | 1405 7TH ST S, Moorhead, MN, 56560 |
| Phone | 2182337508 |
| Fax | 2182333602 |
| Enumeration date | 2007-01-15 |
| Last updated in NPPES | 2025-09-11 |
Authorized official
| Name | Wade Stubson |
|---|---|
| Title | Cfo |
| Phone | 2182912216 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Secondary | 00072 | MN |
| 310400000X | Assisted Living Facility | Primary | 332819 | MN |
Copy-ready billing details
Provider: Eventide NPI: 1487705653 Taxonomy: 310400000X (Assisted Living Facility) Address: 1405 7TH ST S, Moorhead, MN, 56560
Verify this record
Cross-check NPI 1487705653 against the authoritative CMS record: view Eventide on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Eventide located?
Source: CMS NPPES (public data). Snapshot 2026-07-09. Provider record last updated 2025-09-11.