EVERGREEN ENDICOTT COMMUNITY HOME
NPI 1265579411
Intermediate Care Facility, Intellectual Disabilities in Arlington, TX

Active since January 30, 2007
1502 ENDICOTT DR, ARLINGTON, TX 76018(817) 467-3712 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evergreen Endicott Community Home NPPES

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

EVERGREEN ENDICOTT COMMUNITY HOME (NPI 1265579411) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Arlington, Texas and active in the NPI registry since January 2007. The organization lists John R Taylor, President, as its authorized official.

NPPES Registry Identity

NPI1265579411
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameEVERGREEN PRESBYTERIAN MINISTRIES OF TEXAS, INC.
Location Address1502 ENDICOTT DRArlington, TX 76018-2023
Mailing Address2101 Highway 80Haughton, LA 71037-9488 · (318) 949-5500
Organization SubpartNo
Authorized OfficialJohn R TaylorPresident · (318) 949-5500
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJune 17, 2008
NPI 1265579411 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 · 115393
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
1502 ENDICOTT DR, Arlington, TX 76018

Other Names 1

Doing Business AsEvergreen Endicott Community Home

Other Identifiers 1

Medicaid000756302TX

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 1265579411. It was assigned to this organization in the NPPES registry on January 30, 2007. The provider is doing business as Evergreen Endicott Community Home.

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

Evergreen Presbyterian Ministries Of Texas, Inc. is located at 1502 Endicott Dr, Arlington, TX 76018. The listed phone number is (817) 467-3712.

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 June 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.