EVERGREEN STONE TRAIL COMMUNITY HOME
NPI 1174669121
Intermediate Care Facility, Intellectual Disabilities in Longview, 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 29, 2007

1205 STONE TRAIL ST, LONGVIEW, TX 75604(903) 693-8221 Get Directions Write a Review

NPPES record last updated: July 15, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Evergreen Stone Trail Community Home NPPES

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

EVERGREEN STONE TRAIL COMMUNITY HOME (NPI 1174669121) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Longview, Texas and active in the NPI registry since January 2007. The organization lists John R Taylor, President, as its authorized official.

NPPES Registry Identity

NPI1174669121

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameEVERGREEN PRESBYTERIAN MINISTRIES OF TEXAS, INC.

Location Address1205 STONE TRAIL STLongview, TX 75604-3533

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

Phone(903) 693-8221

Organization SubpartNo

Authorized OfficialJohn R TaylorPresident · (318) 949-5500

Enumeration DateJanuary 29, 2007

Last NPPES UpdateJuly 15, 2009

✔ NPI 1174669121 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 · 115892

Definition

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

1205 STONE TRAIL ST, Longview, TX 75604

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Other Names 1

Doing Business AsEvergreen Stone Trail Community Home

Other Identifiers 1

Medicaid000735901TX

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 1174669121. It was assigned to this organization in the NPPES registry on January 29, 2007. The provider is doing business as Evergreen Stone Trail Community Home.

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

Evergreen Presbyterian Ministries Of Texas, Inc. is located at 1205 Stone Trail St, Longview, TX 75604. The listed phone number is (903) 693-8221.

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 July 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.