EVERGREEN NORTH LAKE SERVICES
NPI 1396095592
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Hammond, LA

NPI Status: Active since September 14, 2012

Contact Information

45439 LIVE OAK DR
HAMMOND, LA
ZIP 70401
Phone: (318) 949-5500

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  • Organization
  • Residential Treatment Facility, Intellec...

About EVERGREEN NORTH LAKE SERVICES

This page provides the complete NPI Profile along with additional information for Evergreen North Lake Services, a provider established in Hammond, Louisiana operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1396095592 assigned on September 2012. The practitioner's primary taxonomy code is 320600000X with license number 2851 (LA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Evergreen North Lake Services. The authorized official of this NPI record is Mr. Merlon Kent Craft Cpa (Chief Financial Officer)

NPI
1396095592
Provider Legal Name
EVERGREEN PRESBYTERIAN MINISTRIES, INC.
Other Organization Name
EVERGREEN NORTH LAKE SERVICES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
45439 LIVE OAK DR HAMMOND, LA 70401
Location Phone
(318) 949-5500
Mailing Address
2101 HIGHWAY 80 HAUGHTON, LA 71037
Mailing Phone
(318) 949-5500
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-14-2012
Last Update Date
09-14-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320600000X
Type
Residential Treatment Facilities
License No.
2851
License State
LA
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MERLON KENT CRAFT CPA

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(318) 949-5500

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2851MEDICAID (05)LA 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1396095592, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
0
Doubled → 0
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
5
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 0 → 0 5 → 10 → 1 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 8 + 6 + 0 + 9 + 1 + 0 + 5 + 1 + 8 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1396095592.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Specialist
45439 LIVE OAK DR
HAMMOND, LA 70401
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
45439 LIVE OAK DR
HAMMOND, LA 70401
Dietitian, Registered
45439 LIVE OAK DR, FISCAL DEPARTMENT
HAMMOND, LA 70401
In Home Supportive Care
45439 LIVE OAK DR
HAMMOND, LA 70401
Internal Medicine
45439 LIVE OAK DR
HAMMOND, LA 70401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396095592, enumerated as an "organization" on September 14, 2012.

The provider is located at 45439 LIVE OAK DR HAMMOND, LA 70401 and the phone number is (318) 949-5500.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

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