EVERGREEN PRESBYTERIAN MINISTRIES, INC.
NPI 1306994785
Intermediate Care Facility, Intellectual Disabilities in Shreveport, 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.

Active since January 08, 2007

815 RAVENDALE DR, SHREVEPORT, LA 71107(318) 424-8457 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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 1306994785), doing business as Ravendale Community Home, is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Shreveport, 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

NPI1306994785

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameEVERGREEN PRESBYTERIAN MINISTRIES, INC.

Location Address815 RAVENDALE DRShreveport, LA 71107-4026

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

Phone(318) 424-8457

Organization SubpartNo

Authorized OfficialDouglas RylandRegional Vice-president · (318) 949-5500

Enumeration DateJanuary 8, 2007

Last NPPES UpdateMay 27, 2025

NPPES CertifiedMay 27, 2025

✔ NPI 1306994785 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 · 496

Definition

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

815 RAVENDALE DR, Shreveport, LA 71107

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Other Names 1

Doing Business AsRavendale Community Home

Other Identifiers 1

Medicaid1717355LA

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 1306994785. It was assigned to this organization in the NPPES registry on January 8, 2007. The provider is doing business as Ravendale Community Home.

Where is Evergreen Presbyterian Ministries, Inc. located?

Evergreen Presbyterian Ministries, Inc. is located at 815 Ravendale Dr, Shreveport, LA 71107. The listed phone number is (318) 424-8457.

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 27, 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.