EVERGREEN LIGHTHOUSE COMMUNITY HOME
NPI 1063559219
Intermediate Care Facility, Intellectual Disabilities in Garland, TX

Q: What is Evergreen Presbyterian Ministries Of Texas, Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Active since January 30, 2007

1205 WENDELL WAY, GARLAND, TX 75043(972) 303-0198 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Evergreen Lighthouse Community Home NPPES

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

EVERGREEN LIGHTHOUSE COMMUNITY HOME (NPI 1063559219) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Garland, Texas and active in the NPI registry since January 2007. The organization lists John R Taylor, President, as its authorized official.

NPPES Registry Identity

NPI1063559219

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameEVERGREEN PRESBYTERIAN MINISTRIES OF TEXAS, INC.

Location Address1205 WENDELL WAYGarland, TX 75043-1714

Mailing Address2101 Highway 80Haughton, LA 71037-9488 · (318) 949-5500

Phone(972) 303-0198

Organization SubpartNo

Authorized OfficialJohn R TaylorPresident · (318) 949-5500

Enumeration DateJanuary 30, 2007

Last NPPES UpdateJune 17, 2008

✔ NPI 1063559219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

License✔ Licensed in TX · 114575

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

1205 WENDELL WAY, Garland, TX 75043

Open in Google Maps ↗

Other Names 1

Doing Business AsEvergreen Lighthouse Community Home

Other Identifiers 1

Medicaid000781201TX

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 Texas, Inc.'s NPI number?

The NPI number for Evergreen Presbyterian Ministries Of Texas, Inc. is 1063559219. It was assigned to this organization in the NPPES registry on January 30, 2007. The provider is doing business as Evergreen Lighthouse Community Home.

Where is Evergreen Presbyterian Ministries Of Texas, Inc. located?

Evergreen Presbyterian Ministries Of Texas, Inc. is located at 1205 Wendell Way, Garland, TX 75043. The listed phone number is (972) 303-0198.

What is Evergreen Presbyterian Ministries Of Texas, Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Evergreen Presbyterian Ministries Of Texas, Inc. was last updated on June 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.