Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evergreen Dickinson, LLC

Organization Custodial Care Facility · NPI 1316143175

Evergreen Dickinson, LLC is a Custodial Care Facility in Dickinson, North Dakota. Licensed in North Dakota. Registered with an NPI since 2007.

Licensed in
ND
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2143 6th Ave W
Dickinson, ND 58601-2700
Phone: (701) 483-6606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Custodial Care Facility (primary) Taxonomy 311Z00000X · Licence 8054A (ND)

Record details

NPI number1316143175
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vickie Cofer — Asst. Director · (701) 483-6606
NPI enumeratedJune 26, 2007
Last updated in NPPESNovember 18, 2008
Mailing address2143 6th Ave W, Dickinson, ND 58601-2700