EVERGREEN MOORES LANE COMMUNITY HOME
NPI 1336285857
Intermediate Care Facility, Intellectual Disabilities in Texarkana, TX

Q: 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.

Active since January 30, 2007

3611 MOORES LN, TEXARKANA, TX 75503(903) 832-2682 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Evergreen Moores Lane Community Home NPPES

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

EVERGREEN MOORES LANE COMMUNITY HOME (NPI 1336285857) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Texarkana, Texas and active in the NPI registry since January 2007. The organization lists John R Taylor, President, as its authorized official.

NPPES Registry Identity

NPI1336285857

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameEVERGREEN PRESBYTERIAN MINISTRIES OF TEXAS, INC.

Location Address3611 MOORES LNTexarkana, TX 75503-2214

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

Phone(903) 832-2682

Organization SubpartNo

Authorized OfficialJohn R TaylorPresident · (318) 949-5500

Enumeration DateJanuary 30, 2007

Last NPPES UpdateJune 16, 2008

✔ NPI 1336285857 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 · 115298

Definition

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

3611 MOORES LN, Texarkana, TX 75503

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Other Names 1

Other NameEvergreen Moores Lane Community Home

Other Identifiers 1

Medicaid000720301TX

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 1336285857. It was assigned to this organization in the NPPES registry on January 30, 2007. The provider is also known as Evergreen Moores Lane Community Home.

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

Evergreen Presbyterian Ministries Of Texas, Inc. is located at 3611 Moores Ln, Texarkana, TX 75503. The listed phone number is (903) 832-2682.

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 16, 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.