AMANDA ROCK COMMUNITY HOME
NPI 1457678591
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Leesville, LA

Active since April 29, 2010
301 KNAPP ST, LEESVILLE, LA 71446(318) 949-5500(318) 949-5555 Get Directions Write a Review

NPPES record last updated: April 29, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Rock Community Home NPPES

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

AMANDA ROCK COMMUNITY HOME (NPI 1457678591) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Leesville, Louisiana and active in the NPI registry since April 2010. The organization lists John R Taylor, President, as its authorized official.

NPPES Registry Identity

NPI1457678591
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameEVERGREEN PRESBYTERIAN MINISTRIES, INC.
Location Address301 KNAPP STLeesville, LA 71446-3035
Mailing Address2101 Highway 80Haughton, LA 71037-9488 · (318) 949-5500 · Fax (318) 949-5555
Fax(318) 949-5555
Organization SubpartNo
Authorized OfficialJohn R TaylorPresident · (318) 949-5500
Enumeration DateApril 29, 2010
NPI 1457678591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
License Licensed in LA · APPLIED FOR
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
301 KNAPP ST, Leesville, LA 71446

Other Names 1

Doing Business AsAmanda Rock Community Home

Other Identifiers 1

MedicaidAPPLIED FORLA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
301 KNAPP ST
LEESVILLE, LA 71446

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 1457678591. It was assigned to this organization in the NPPES registry on April 29, 2010. The provider is doing business as Amanda Rock Community Home.

Where is Evergreen Presbyterian Ministries, Inc. located?

Evergreen Presbyterian Ministries, Inc. is located at 301 Knapp St, Leesville, LA 71446. The listed phone number is (318) 949-5500.

What is Evergreen Presbyterian Ministries, Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Evergreen Presbyterian Ministries, Inc. was last updated on April 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.