EVERGREEN PRESBYTERIAN MINISTRIES, INC.
NPI 1104965409
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Bossier City, LA
About Evergreen Presbyterian Ministries, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVERGREEN PRESBYTERIAN MINISTRIES, INC. (NPI 1104965409), doing business as Nwla Supported Living Program, is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Bossier City, Louisiana and active in the NPI registry since February 2007. The organization lists Douglas Ryland, Regional Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOSSIER CITY, LA 71111
BOSSIER CITY, LA 71111
BOSSIER CITY, LA 71111
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, Inc.'s NPI number?
The NPI number for Evergreen Presbyterian Ministries, Inc. is 1104965409. It was assigned to this organization in the NPPES registry on February 5, 2007. The provider is doing business as NWLA Supported Living Program.
Where is Evergreen Presbyterian Ministries, Inc. located?
Evergreen Presbyterian Ministries, Inc. is located at 3907 Shed Rd, Bossier City, LA 71111. The listed phone number is (318) 747-9855.
What is Evergreen Presbyterian Ministries, Inc.'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, Inc. was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Evergreen Presbyterian Ministries, Inc. · NPI 1104965409
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities organization in Bossier City, Louisiana. Organization record, active in the CMS NPPES registry since February 5, 2007.
## Identity
- **NPI:** 1104965409 (Entity type: Organization)
- **Enumerated:** February 5, 2007
- **Primary specialty:** Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · taxonomy 320900000X
- **Also known as:** NWLA Supported Living Program (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Douglas Ryland, REGIONAL VICE PRESIDENT
## Practice location
- **Address:** 3907 SHED RD, Bossier City, LA 71111-5214
- **Phone:** (318) 747-9855
## Record status
- **NPPES last updated:** May 27, 2025
- **Other identifiers:** Medicaid 1918768 (LA)
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Source: [NPI Profile](https://npiprofile.com/npi/1104965409) · Data from the CMS NPPES public registry.