Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Evergreen Place

Assisted Living Facility in Ellendale, ND · enumerated 2007 · authorized official Tony Hanson, Administrator-Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1538287263

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Registry record

Entity type Organization (Type 2)

Legal business name Evergreen Place

Practice address 241 Main Street, Ellendale, ND, 58436

Phone (701) 349-4550

Fax (701) 349-4656

Enumeration date Mar 27, 2007

Last updated in NPPES Aug 22, 2020

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License 30729 (ND) Primary

Authorized official

Name Tony Hanson

Title Administrator-Ceo

Phone (701) 349-3312

Other identifiers

Identifier	Type	State	Issuer
30729	Medicaid	ND	-

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 → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Where is Evergreen Place located?

The practice location on file with NPPES is in Ellendale, ND.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.