WILLOWICK GROUP HOME
NPI 1760537625
Intermediate Care Facility, Intellectual Disabilities in Lake Charles, LA

Active since January 23, 2007
2008 WILLOWICK ST, LAKE CHARLES, LA 70607(337) 474-6837 Get Directions Write a Review

NPPES record last updated: June 13, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Willowick Group Home NPPES

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

WILLOWICK GROUP HOME (NPI 1760537625) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Lake Charles, Louisiana and active in the NPI registry since January 2007. The organization lists John R Taylor, President, as its authorized official.

NPPES Registry Identity

NPI1760537625
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameEVERGREEN PRESBYTERIAN MINISTRIES, INC.
Location Address2008 WILLOWICK STLake Charles, LA 70607-2018
Mailing Address2101 Highway 80Haughton, LA 71037-9488 · (318) 949-5500
Organization SubpartNo
Authorized OfficialJohn R TaylorPresident · (318) 949-5500
Enumeration DateJanuary 23, 2007
Last NPPES UpdateJune 13, 2008
NPI 1760537625 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 LA · 643
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
2008 WILLOWICK ST, Lake Charles, LA 70607

Other Names 1

Doing Business AsWillowick Group Home

Other Identifiers 1

Medicaid1719005LA

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 1760537625. It was assigned to this organization in the NPPES registry on January 23, 2007. The provider is doing business as Willowick Group Home.

Where is Evergreen Presbyterian Ministries, Inc. located?

Evergreen Presbyterian Ministries, Inc. is located at 2008 Willowick St, Lake Charles, LA 70607. The listed phone number is (337) 474-6837.

What is Evergreen Presbyterian Ministries, 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, Inc. was last updated on June 13, 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.