Organization Active NPI

Evergreen Assisted Living Homes Inc

Doing business as Evergreen Assisted Living Homes

  • Assisted Living Facility
  • Richfield, MN
National Provider Identifier
1851162655
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
EVERGREEN ASSISTED LIVING HOMES INC
Doing business as
Evergreen Assisted Living Homes
Practice address
6629 Xerxes Ave S
Richfield, MN 55423-1931
Phone
(612) 433-2625
Fax
(612) 500-4948
NPI assigned
Jan 10, 2024
Organization subpart
Yes
Parent organization
EVERGREEN ASSISTED LIVING HOMES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eunie Buford, CBO
Title
Cbo
Phone
(651) 280-0210

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X
Assisted Living Facility 310400000X Primary
Custodial Care Facility 311Z00000X
Adult Care Home Facility 311ZA0620X

Addresses

Primary practice location

6629 Xerxes Ave S
Richfield, MN 55423-1931

Mailing address

7016 Antrim Rd
Edina, MN 55439-1708
Phone (651) 280-0210

Other practice location 1

6616 Sheridan Ave S
Richfield, MN 55423-2050
Phone (651) 280-0210

Other practice location 2

1215 Lake Lucy Rd
Chanhassen, MN 55317-9433
Phone (651) 280-0210

Other practice location 3

5517 Highland Rd
Minnetonka, MN 55345-5634
Phone (651) 280-0210

Other practice location 4

7016 Antrim Rd
Edina, MN 55439-1708
Phone (651) 280-0210

Other identifiers 5

IdentifierTypeStateIssuer
40105OtherMNHFID
40487OtherMNHFID
40093OtherMNHFID
40475OtherHFID
40689OtherMNHFID

Other names 1

  • Evergreen Assisted Living Homes Doing business as

Electronic endpoints 8

TypeEndpointUseAffiliation
Direct Messaging Address information@evergreencarehomes.com Evergreen Assisted Living Homes inc
Direct Messaging Address information@evergreencarehomes.com Evergreen Care Homes Blue Bird
Direct Messaging Address information@evergreencarehomes.com Health Information Exchange (HIE) Evergreen Assisted Living Homes inc
Direct Messaging Address information@evergreencarehomes.com Health Information Exchange (HIE) Evergreen Care Homes Blue Bird
Direct Messaging Address information@evergreencarehomes.com Evergreen Assisted Living Homes inc
Direct Messaging Address information@evergreencarehomes.com Health Information Exchange (HIE) Evergreen Assisted Living Homes inc
Direct Messaging Address information@evergreencarehomes.com Evergreen Assisted Living Homes inc- Red Robin
Direct Messaging Address information@evergreencarehomes.com Evergreen Assisted Living Homes inc- Red Robin

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2291802Evergreen Assisted Living Homes Inc6629 Xerxes Ave S, Richfield, MN 55423Certificate of waiverOct 15, 2027

National Provider Directory

National Provider Directory
Tax ID family
Evergreen Assisted Living Homes Inc- Red Robin6 organizations share this tax ID, including this one
Part of
Evergreen Assisted Living Homes Inc- Red Robin

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • Direct secure messaging: information@evergreencarehomes.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1851162655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7016 ANTRIM RD",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554391708",
            "telephone_number": "651-280-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6629 XERXES AVE S",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554231931",
            "telephone_number": "612-433-2625",
            "fax_number": "612-500-4948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6616 Sheridan Ave S",
            "address_purpose": "LOCATION",
            "city": "Richfield",
            "state": "MN",
            "postal_code": "554232050",
            "country_code": "US",
            "telephone_number": "651-280-0210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 Lake Lucy Rd",
            "address_purpose": "LOCATION",
            "city": "Chanhassen",
            "state": "MN",
            "postal_code": "553179433",
            "country_code": "US",
            "telephone_number": "651-280-0210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5517 Highland Rd",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553455634",
            "country_code": "US",
            "telephone_number": "651-280-0210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7016 Antrim Rd",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554391708",
            "country_code": "US",
            "telephone_number": "651-280-0210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EVERGREEN ASSISTED LIVING HOMES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EVERGREEN ASSISTED LIVING HOMES INC",
        "enumeration_date": "2024-01-10",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "BUFORD",
        "authorized_official_first_name": "EUNIE",
        "authorized_official_title_or_position": "CBO",
        "authorized_official_telephone_number": "651-280-0210",
        "authorized_official_credential": "CBO"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HFID",
            "identifier": "40105",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HFID",
            "identifier": "40487",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HFID",
            "identifier": "40093",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HFID",
            "identifier": "40475",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HFID",
            "identifier": "40689",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "information@evergreencarehomes.com",
            "affiliation": "Y",
            "affiliationName": "Evergreen Assisted Living Homes inc",
            "address_1": "7016 Antrim Rd",
            "city": "Edina",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554391708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "information@evergreencarehomes.com",
            "affiliation": "Y",
            "affiliationName": "Evergreen Care Homes Blue Bird",
            "address_1": "6616 Sheridan Ave S",
            "city": "Richfield",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554232050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "information@evergreencarehomes.com",
            "affiliation": "Y",
            "affiliationName": "Evergreen Assisted Living Homes inc",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5517 Highland Rd",
            "city": "Minnetonka",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553455634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "information@evergreencarehomes.com",
            "affiliation": "Y",
            "affiliationName": "Evergreen Care Homes Blue Bird",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "6616 Sheridan Ave S",
            "city": "Richfield",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554232050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "information@evergreencarehomes.com",
            "affiliation": "Y",
            "affiliationName": "Evergreen Assisted Living Homes inc",
            "address_1": "7016 Antrim Rd",
            "city": "Edina",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554391708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "information@evergreencarehomes.com",
            "affiliation": "Y",
            "affiliationName": "Evergreen Assisted Living Homes inc",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1215 Lake Lucy Rd",
            "city": "Chanhassen",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553179433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "information@evergreencarehomes.com",
            "affiliation": "Y",
            "affiliationName": "Evergreen Assisted Living Homes inc- Red Robin",
            "address_1": "6629 Xerxes Ave S",
            "city": "Richfield",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554231931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "information@evergreencarehomes.com",
            "affiliation": "Y",
            "affiliationName": "Evergreen Assisted Living Homes inc- Red Robin",
            "address_1": "6629 Xerxes Ave S",
            "city": "Richfield",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554231931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Evergreen Assisted Living Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richfield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.