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EVERGREEN DICKINSON, LLC
NPI 1316143175
Custodial Care Facility in Dickinson, ND

Active since June 26, 2007
2143 6TH AVE W, DICKINSON, ND 58601(701) 483-6606 Get Directions Write a Review

NPPES record last updated: November 18, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Evergreen Dickinson, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERGREEN DICKINSON, LLC (NPI 1316143175) is a healthcare organization registered as a custodial care facility in Dickinson, North Dakota and active in the NPI registry since June 2007. The organization lists Vickie Cofer, Asst. Director, as its authorized official.

NPPES Registry Identity

NPI1316143175
Entity TypeOrganization
Primary Taxonomy311Z00000X
Legal Business NameEVERGREEN DICKINSON, LLC
Location Address2143 6TH AVE WDickinson, ND 58601-2700
Mailing Address2143 6th Ave WDickinson, ND 58601-2700 · (701) 483-6606
Phone(701) 483-6606
Organization SubpartNo
Authorized OfficialVickie CoferAsst. Director · (701) 483-6606
Enumeration DateJune 26, 2007
Last NPPES UpdateNovember 18, 2008
✔ NPI 1316143175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care FacilityNursing & Custodial Care Facilities
Taxonomy Code311Z00000X
License✔ Licensed in ND · 8054A
Definition
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
2143 6TH AVE W, Dickinson, ND 58601
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Other Identifiers 1

Medicaid030765ND

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evergreen Dickinson, LLC's NPI number?

The NPI number for Evergreen Dickinson, LLC is 1316143175. It was assigned to this organization in the NPPES registry on June 26, 2007.

Where is Evergreen Dickinson, LLC located?

Evergreen Dickinson, LLC is located at 2143 6th Ave W, Dickinson, ND 58601. The listed phone number is (701) 483-6606.

What is Evergreen Dickinson, LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility with taxonomy code 311Z00000X.

When was this NPI record last updated?

The NPPES record for Evergreen Dickinson, LLC was last updated on November 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.