Organization
EVERGREEN ASSISTED LIVING HOMES INC
Active
Parent organization
EVERGREEN ASSISTED LIVING HOMES INC
Other names
Evergreen Assisted Living Homes, Evergreen Red Robin Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVERGREEN ASSISTED LIVING HOMES INC
Authorized official
EUNIE BUFORD CBO (CBO)
(651) 280-0210
Entity
Organization
Contact information
Practice address
6629 XERXES AVE S, RICHFIELD, MN 55423-1931
(612) 433-2625
(612) 500-4948
Mailing address
7016 ANTRIM RD, EDINA, MN 55439-1708
(651) 280-0210
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
311Z00000X
Custodial Care Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40093
HFID
MN
01
—
40105
HFID
MN
01
—
40475
HFID
—
01
—
40487
HFID
MN
01
—
40689
HFID
MN
Enumeration date
01/10/2024
Last updated
03/19/2026
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