{"npi":"1487705653","type":"NPI-2","status":"active","name":{"display":"Eventide","other":[],"organization_name":"EVENTIDE","authorised_official":"Wade Stubson"},"specialty":{"primary_taxonomy":"310400000X","primary_taxonomy_description":"Assisted Living Facility","slug":"assisted-living-facility-0000","schema_org_specialty":null,"all":[{"code":"314000000X","description":"Skilled Nursing Facility","primary":false,"state":"MN","license":"00072"},{"code":"310400000X","description":"Assisted Living Facility","primary":true,"state":"MN","license":"332819"}]},"addresses":[{"purpose":"LOCATION","street_1":"1405 7TH ST S","city":"MOORHEAD","state":"MN","postal_code":"565603444","country_code":"US","phone":"2182337508","fax":"2182333602"},{"purpose":"MAILING","street_1":"1405 7TH ST S","city":"MOORHEAD","state":"MN","postal_code":"565603444","country_code":"US","phone":"2182337508","fax":"2182333602"}],"license":{"state":"MN","number":"332819"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20060505000953","type_code":"00-18","type_desc":"PART A PROVIDER - SKILLED NURSING FACILITY","state":"MN","pac_id":"7810908712"}]},"enumeration_date":"2007-01-15","last_updated":"2025-09-11","_meta":{"source":"NPPES","snapshot_date":"2025-09-11","doc_url":"https://findmynpi.com/api"}}