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EVERGREEN JEANNETTE EARLY COMMUNITY HOME
NPI 1417095712
Intermediate Care Facility, Intellectual Disabilities in Arlington, TX

Active since February 01, 2007
329 MONTANA DR, ARLINGTON, TX 76002(817) 467-3800 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Evergreen Jeannette Early Community Home NPPES

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

EVERGREEN JEANNETTE EARLY COMMUNITY HOME (NPI 1417095712) 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

NPI1417095712
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameEVERGREEN PRESBYTERIAN MINISTRIES OF TEXAS, INC.
Location Address329 MONTANA DRArlington, TX 76002-4473
Mailing Address2101 Highway 80Haughton, LA 71037-9488 · (318) 949-5500
Phone(817) 467-3800
Organization SubpartNo
Authorized OfficialJohn R TaylorPresident · (318) 949-5500
Enumeration DateFebruary 1, 2007
Last NPPES UpdateJune 17, 2008
✔ NPI 1417095712 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 · 114776
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
329 MONTANA DR, Arlington, TX 76002
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Other Names 1

Doing Business AsEvergreen Jeannette Early Community Home

Other Identifiers 1

Medicaid001004791TX

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 1417095712. It was assigned to this organization in the NPPES registry on February 1, 2007. The provider is doing business as Evergreen Jeannette Early Community Home.

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

Evergreen Presbyterian Ministries Of Texas, Inc. is located at 329 Montana Dr, Arlington, TX 76002. The listed phone number is (817) 467-3800.

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.