Evergreen Place
Evergreen Place is a healthcare organization registered as Assisted Living Facility in Ellendale, ND, holding Type 2 (organization) NPI 1538287263 since 2007. The authorized official on file is Tony Hanson, Administrator-Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1538287263 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Evergreen Place |
| Practice address | 241 MAIN STREET, Ellendale, ND, 58436 |
| Phone | 7013494550 |
| Fax | 7013494656 |
| Enumeration date | 2007-03-27 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Tony Hanson |
|---|---|
| Title | Administrator-Ceo |
| Phone | 7013493312 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | Primary | 30729 | ND |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30729 | Medicaid | ND | — |
Copy-ready billing details
Provider: Evergreen Place NPI: 1538287263 Taxonomy: 310400000X (Assisted Living Facility) Address: 241 MAIN STREET, Ellendale, ND, 58436
Verify this record
Cross-check NPI 1538287263 against the authoritative CMS record: view Evergreen Place 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 Evergreen Place located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.