RANGE ROAD COMMUNITY HOME - NPI 1235285073 - Intermediate Care Facility, Intellectual Disabilities in Hammond, LA

Q: 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.

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About Range Road Community Home NPPES

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

RANGE ROAD COMMUNITY HOME (NPI 1235285073) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Hammond, Louisiana and active in the NPI registry since January 2007. The organization lists John R Taylor, President, as its authorized official.

NPPES Registry Identity

NPI1235285073

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameEVERGREEN PRESBYTERIAN MINISTRIES, INC.

Location Address43474 S RANGE RDHammond, LA 70403-6320

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

Phone(985) 542-4632

Organization SubpartNo

Authorized OfficialJohn R TaylorPresident · (318) 949-5500

Enumeration DateJanuary 26, 2007

Last NPPES UpdateJune 16, 2008

✔ NPI 1235285073 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 · 864

Definition

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

43474 S RANGE RD, Hammond, LA 70403

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Other Names 1

Doing Business AsRange Road Community Home

Other Identifiers 1

Medicaid1714160LA

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 1235285073. It was assigned to this organization in the NPPES registry on January 26, 2007. The provider is doing business as Range Road Community Home.

Where is Evergreen Presbyterian Ministries, Inc. located?

Evergreen Presbyterian Ministries, Inc. is located at 43474 S Range Rd, Hammond, LA 70403. The listed phone number is (985) 542-4632.

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 June 16, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.