EVERGREEN LIFE SERVICES
NPI 1073976171
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Texarkana, TX

NPI Status: Active since April 05, 2016

Contact Information

1319 MAGNOLIA ST
TEXARKANA, TX
ZIP 75501
Phone: (903) 794-0517

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  • Community Based Residential Treatment Fa...

About EVERGREEN LIFE SERVICES

This page provides the complete NPI Profile along with additional information for Evergreen Life Services, a provider established in Texarkana, Texas operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1073976171 assigned on April 2016. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Evergreen Life Services. The authorized official of this NPI record is Mr. Merlon Kent Craft (Executive Vice President / Cfo)

NPI
1073976171
Provider Legal Name
EVERGREEN PRESBYTERIAN MINISTRIES OF TEXAS, INC.
Other Organization Name
EVERGREEN LIFE SERVICES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1319 MAGNOLIA ST TEXARKANA, TX 75501
Location Phone
(903) 794-0517
Mailing Address
2101 HIGHWAY 80 HAUGHTON, LA 71037
Mailing Phone
(318) 949-5500
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-05-2016
Last Update Date
04-05-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
License State
TX
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MERLON KENT CRAFT

Authorized Official Title
EXECUTIVE VICE PRESIDENT / CFO
Authorized Official Phone
(318) 949-5515

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1073976171, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 9 → 18 → 9 6 → 12 → 3 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 4 + 3 + 1 + 8 + 7 + 1 + 2 + 1 + 1 + 4 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1073976171.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1319 MAGNOLIA ST
TEXARKANA, TX 75501
Case Management
1319 MAGNOLIA ST
TEXARKANA, TX 75501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073976171, enumerated as an "organization" on April 05, 2016.

The provider is located at 1319 MAGNOLIA ST TEXARKANA, TX 75501 and the phone number is (903) 794-0517.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.