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WINNIE STREET COMMUNITY HOME
NPI 1801941752
Intermediate Care Facility, Intellectual Disabilities in Lake Charles, LA

Active since January 23, 2007
2119 WINNIE ST, LAKE CHARLES, LA 70601(337) 436-1716 Get Directions Write a Review

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

About Winnie Street Community Home NPPES

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

WINNIE STREET COMMUNITY HOME (NPI 1801941752) 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

NPI1801941752
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameEVERGREEN PRESBYTERIAN MINISTRIES, INC.
Location Address2119 WINNIE STLake Charles, LA 70601-7175
Mailing Address2101 Highway 80Haughton, LA 71037-9488 · (318) 949-5500
Phone(337) 436-1716
Organization SubpartNo
Authorized OfficialJohn R TaylorPresident · (318) 949-5500
Enumeration DateJanuary 23, 2007
Last NPPES UpdateJune 13, 2008
✔ NPI 1801941752 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 · 619
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
2119 WINNIE ST, Lake Charles, LA 70601
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Other Names 1

Doing Business AsWinnie Street Community Home

Other Identifiers 1

Medicaid1718742LA

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 1801941752. It was assigned to this organization in the NPPES registry on January 23, 2007. The provider is doing business as Winnie Street Community Home.

Where is Evergreen Presbyterian Ministries, Inc. located?

Evergreen Presbyterian Ministries, Inc. is located at 2119 Winnie St, Lake Charles, LA 70601. The listed phone number is (337) 436-1716.

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.