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EVERGREEN PRESBYTERIAN MINISTRIES, INC.
NPI 1063530442
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Memphis, TN

Active since March 26, 2007
5154 STAGE RD, SUITE 100, MEMPHIS, TN 38134(901) 381-9370(901) 381-9368 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evergreen Presbyterian Ministries, Inc. NPPES

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

EVERGREEN PRESBYTERIAN MINISTRIES, INC. (NPI 1063530442) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Memphis, Tennessee and active in the NPI registry since March 2007. The organization lists John R Taylor, President, as its authorized official.

NPPES Registry Identity

NPI1063530442
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameEVERGREEN PRESBYTERIAN MINISTRIES OF WEST TN
Location Address5154 STAGE RD, SUITE 100Memphis, TN 38134-3118
Mailing Address2101 Highway 80Haughton, LA 71037-9488 · (318) 742-8440 · Fax (318) 752-5448
Phone(901) 381-9370
Fax(901) 381-9368
Organization SubpartNo
Authorized OfficialJohn R TaylorPresident · (318) 742-8440
Enumeration DateMarch 26, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1063530442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
5154 STAGE RD, Memphis, TN 38134
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Other Names 1

Other NameEvergreen Presbyterian Ministries, Inc.

Other Identifiers 1

Medicaid00E21TN

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JANE S COX PH.D.
Psychologist (Clinical)
5154 STAGE RD, SUITE 102
MEMPHIS, TN 38134
Shelby County (901) 372-9133
CONNIE S PAUL PH.D.
Psychologist (Health Service)
5154 STAGE RD, SUITE 102
MEMPHIS, TN 38134
Shelby County (901) 372-9133
MEMPHIS CENTER FOR WOMEN AND FAMILIES
Psychologist (Clinical)
5154 STAGE RD, STE 102
MEMPHIS, TN 38134
Shelby County (901) 372-9133
DR. JANET EWING PANTER PSYCHOLOGIST/HSP
Psychologist (Health Service)
5154 STAGE RD, SUITE 102
MEMPHIS, TN 38134
Shelby County (901) 372-9133
DR. DEBORAH ANN CARTER PHD
Psychologist (Clinical)
5154 STAGE RD, SUITE 102
MEMPHIS, TN 38134
Shelby County (901) 372-9133
DR. DEANNA L. OWEN PH.D.
Psychologist
5154 STAGE RD, SUITE 102
MEMPHIS, TN 38134
Shelby County (901) 372-9133

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 Presbyterian Ministries Of West Tn's NPI number?

The NPI number for Evergreen Presbyterian Ministries Of West Tn is 1063530442. It was assigned to this organization in the NPPES registry on March 26, 2007. The provider is also known as Evergreen Presbyterian Ministries, Inc..

Where is Evergreen Presbyterian Ministries Of West Tn located?

Evergreen Presbyterian Ministries Of West Tn is located at 5154 Stage Rd Suite 100, Memphis, TN 38134. The listed phone number is (901) 381-9370.

What is Evergreen Presbyterian Ministries Of West Tn's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Evergreen Presbyterian Ministries Of West Tn was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.