EVERGREEN PRESBYTERIAN MINISTRIES,INC.
NPI 1215085626
Intermediate Care Facility, Intellectual Disabilities in Alexandria, LA

Active since January 08, 2007
3207 MADONNA DR, ALEXANDRIA, LA 71301(318) 487-6500 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evergreen Presbyterian Ministries,inc. NPPES

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

EVERGREEN PRESBYTERIAN MINISTRIES,INC. (NPI 1215085626) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Alexandria, Louisiana and active in the NPI registry since January 2007. The organization lists Douglas Ryland, Regional Vice President, as its authorized official.

NPPES Registry Identity

NPI1215085626
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameEVERGREEN PRESBYTERIAN MINISTRIES,INC.
Location Address3207 MADONNA DRAlexandria, LA 71301-4816
Mailing Address2101 Highway 80Haughton, LA 71037-9488 · (318) 949-5500
Organization SubpartNo
Authorized OfficialDouglas RylandRegional Vice President · (318) 949-5500
Enumeration DateJanuary 8, 2007
Last NPPES UpdateMay 30, 2025
NPPES CertifiedMay 30, 2025
NPI 1215085626 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 LA · 2102860318
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
3207 MADONNA DR, Alexandria, LA 71301

Other Names 1

Other NameFulton Road Community Home

Other Identifiers 1

Medicaid1718009LA

Other Providers at the Same Location NPPES

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

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
3207 MADONNA DR
ALEXANDRIA, LA 71301

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 1215085626. It was assigned to this organization in the NPPES registry on January 8, 2007. The provider is also known as Fulton Road Community Home.

Where is Evergreen Presbyterian Ministries,inc. located?

Evergreen Presbyterian Ministries,inc. is located at 3207 Madonna Dr, Alexandria, LA 71301. The listed phone number is (318) 487-6500.

What is Evergreen Presbyterian Ministries,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,inc. was last updated on May 30, 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.