EVERGREEN SALIDA COMMUNITY HOME - NPI 1669519617 - Intermediate Care Facility, Intellectual Disabilities in Arlington, 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.

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About Evergreen Salida Community Home NPPES

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

EVERGREEN SALIDA COMMUNITY HOME (NPI 1669519617) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Arlington, Texas and active in the NPI registry since January 2007. The organization lists John R Taylor, President, as its authorized official.

NPPES Registry Identity

NPI1669519617

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameEVERGREEN PRESBYTERIAN MINISTRIES OF TEXAS, INC.

Location Address911 SALIDA DRArlington, TX 76001-6122

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

Phone(817) 477-9722

Organization SubpartNo

Authorized OfficialJohn R TaylorPresident · (318) 949-5500

Enumeration DateJanuary 31, 2007

Last NPPES UpdateJune 17, 2008

✔ NPI 1669519617 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 · 114211

Definition

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

911 SALIDA DR, Arlington, TX 76001

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Other Names 1

Doing Business AsEvergreen Salida Community Home

Other Identifiers 1

Medicaid001004789TX

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 1669519617. It was assigned to this organization in the NPPES registry on January 31, 2007.

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

Evergreen Presbyterian Ministries Of Texas, Inc. is located at 911 Salida Dr, Arlington, TX 76001. The listed phone number is (817) 477-9722.

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 with the weekly NPPES data releases published by CMS.