Active NPI
Evergreen Assisted Living Homes Inc
Doing business as Evergreen Assisted Living Homes
- Assisted Living Facility
- Richfield, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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 INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40105 | Other | MN | HFID |
| 40487 | Other | MN | HFID |
| 40093 | Other | MN | HFID |
| 40475 | Other | HFID | |
| 40689 | Other | MN | HFID |
Other names 1
- Evergreen Assisted Living Homes
Electronic endpoints 8
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2291802 | Evergreen Assisted Living Homes Inc | Certificate of waiver | Oct 15, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Evergreen Assisted Living Homes Inc- Red Robin
- 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.
-
- In Home Supportive Care Agency
- Edina, MN
- NPI 1184591620
-
- Assisted Living Facility
- Chanhassen, MN
- NPI 1316713670
-
- Assisted Living Facility
- Minnetonka, MN
- NPI 1568226967
-
- Assisted Living Facility
- Richfield, MN
- NPI 1093577967
-
- Assisted Living Facility
- Richfield, MN
- NPI 1629813928
Interoperability endpoints
- 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
- Dania Escobar
- Esperanza Para Familias LLC
- Stacia Essler, RN, MSN, FNP-BC
- Ever-Care Orthotics & Prosthetics LLC
- Ever-Care Orthotics & Prosthetics LLC
- Evergreen Assisted Living Homes Inc- Red Robin
- Evergreen Care Homes Blue Bird
- Noelle Theresa Everts, MA CCC SLP
- Extendicare Homes, Inc. (Richfield Health Center)
- Nicholas Elias Eyvindsson, D.C.
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.