EVERGREEN HOME HEALTHCARE SERVICES, LLC
NPI 1447061924
Assisted Living Facility in Coon Rapids, MN

Q: What is Evergreen Home Healthcare Services, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since January 15, 2025CLIA 24D2320016 · Waiver

2621 S HEIGHTS DR NW, COON RAPIDS, MN 55433(320) 469-7560 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Evergreen Home Healthcare Services, Llc NPPES

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

EVERGREEN HOME HEALTHCARE SERVICES, LLC (NPI 1447061924) is a healthcare organization registered as an assisted living facility in Coon Rapids, Minnesota and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through March 10, 2027, maintains a secondary practice location in Coon Rapids, and lists Mariama Marie Saidy, Assisted Living Director, as its authorized official.

NPPES Registry Identity

NPI1447061924

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameEVERGREEN HOME HEALTHCARE SERVICES, LLC

Location Address2621 S HEIGHTS DR NWCoon Rapids, MN 55433-3512

Mailing Address16386 Ellerdale LnEden Prairie, MN 55346-1411 · (320) 469-7560

Phone(320) 469-7560

Organization SubpartNo

Authorized OfficialMariama Marie SaidyAssisted Living Director · (320) 469-7560

Enumeration DateJanuary 15, 2025

Last NPPES UpdateSeptember 19, 2025

NPPES CertifiedSeptember 19, 2025

✔ NPI 1447061924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Also ListedHome HealthTaxonomy 251E00000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedIn Home Supportive CareTaxonomy 253Z00000X

2621 S HEIGHTS DR NW, Coon Rapids, MN 55433

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Secondary Practice Location 1

Location 12621 S Heights Dr NWCoon Rapids, MN 55433-3512 · Phone (320) 469-7560

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2320016

Evergreen Home Healthcare Services, LLC · Coon Rapids, MN

Active · expires Mar 10, 2027

CLIA Number24D2320016

Laboratory TypeAssisted Living Facility

Certificate Effective DateMarch 11, 2025

Certificate Expiration DateMarch 10, 2027

Laboratory DirectorMariama M. Saidy

Laboratory Phone(320) 469-7560

Laboratory LocationEvergreen Home Healthcare Services, LLC2621 S Heights Dr NW, Coon Rapids, MN 55433

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Home Healthcare Services, LLC's NPI number?

The NPI number for Evergreen Home Healthcare Services, LLC is 1447061924. It was assigned to this organization in the NPPES registry on January 15, 2025.

Where is Evergreen Home Healthcare Services, LLC located?

Evergreen Home Healthcare Services, LLC is located at 2621 S Heights Dr NW, Coon Rapids, MN 55433. The listed phone number is (320) 469-7560.

What is Evergreen Home Healthcare Services, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Evergreen Home Healthcare Services, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2320016) is associated with this NPI, valid through March 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Evergreen Home Healthcare Services, LLC was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.