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EVERGREEN WAGNER COMMUNITY HOME
NPI 1306984349
Intermediate Care Facility, Intellectual Disabilities in Arlington, TX

Active since February 02, 2007
7905 PEREGRINE TRL, ARLINGTON, TX 76001(817) 477-5600 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Evergreen Wagner Community Home NPPES

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

EVERGREEN WAGNER COMMUNITY HOME (NPI 1306984349) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Arlington, Texas and active in the NPI registry since February 2007. The organization lists John R Taylor, President, as its authorized official.

NPPES Registry Identity

NPI1306984349
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameEVERGREEN PRESBYTERIAN MINISTRIES OF TEXAS, INC.
Location Address7905 PEREGRINE TRLArlington, TX 76001-6137
Mailing Address2101 Highway 80Haughton, LA 71037-9488 · (318) 949-5500
Phone(817) 477-5600
Organization SubpartNo
Authorized OfficialJohn R TaylorPresident · (318) 949-5500
Enumeration DateFebruary 2, 2007
Last NPPES UpdateJune 17, 2008
✔ NPI 1306984349 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 · 117486
Definition

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

7905 PEREGRINE TRL, Arlington, TX 76001
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Other Names 1

Doing Business AsEvergreen Wagner Community Home

Other Identifiers 1

Medicaid001012498TX

Frequently Asked Questions

What is EVERGREEN PRESBYTERIAN MINISTRIES OF TEXAS, INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1306984349, enumerated as an "organization" on February 02, 2007.

Where is the provider located?

The provider is located at 7905 PEREGRINE TRL ARLINGTON, TX 76001 and the phone number is (817) 477-5600.

What is the provider's specialty?

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

What insurance does EVERGREEN PRESBYTERIAN MINISTRIES OF TEXAS, INC. accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.