EVERGREEN PRESBYTERIAN MINISTRIES, INC. - NPI 1205189677 - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Vinton, LA

Q: 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.

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About Evergreen Presbyterian Ministries, Inc. NPPES

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

EVERGREEN PRESBYTERIAN MINISTRIES, INC. (NPI 1205189677) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Vinton, Louisiana and active in the NPI registry since October 2012. The organization lists Merlon Kent Craft, Cfo, as its authorized official.

NPPES Registry Identity

NPI1205189677

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameEVERGREEN PRESBYTERIAN MINISTRIES, INC.

Location Address1710 MILL STVinton, LA 70668-3718

Mailing Address2101 Highway 80Haughton, LA 71037-9488 · (318) 949-5500 · Fax (318) 949-5555

Phone(318) 949-5500

Fax(318) 949-5555

Organization SubpartNo

Authorized OfficialMerlon Kent CraftCfo · (318) 949-5500

Enumeration DateOctober 22, 2012

✔ NPI 1205189677 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

License✔ Licensed in LA · 2203781162

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

1710 MILL ST, Vinton, LA 70668

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Other Identifiers 1

Medicaid2203781162LA

Other Providers at the Same Location NPPES

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

CALCASIEU MULTI-HANDICAPPED CENTER, LLC

Intermediate Care Facility, Intellectual Disabilities

1710 MILL ST
VINTON, LA 70668

Calcasieu Parish (337) 589-3725

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 1205189677. It was assigned to this organization in the NPPES registry on October 22, 2012.

Where is Evergreen Presbyterian Ministries, Inc. located?

Evergreen Presbyterian Ministries, Inc. is located at 1710 Mill St, Vinton, LA 70668. The listed phone number is (318) 949-5500.

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 October 22, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.