EVERGREEN STEVENS COMMUNITY HOME
NPI 1881730851
Intermediate Care Facility, Intellectual Disabilities in Kilgore, TX

Active since January 29, 2007
107 STEVEN ST, KILGORE, TX 75662(903) 643-7022 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Evergreen Stevens Community Home NPPES

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

EVERGREEN STEVENS COMMUNITY HOME (NPI 1881730851) is an intermediate care facility, intellectual disabilities in Kilgore, Texas and active in the NPI registry since January 2007. The organization lists John R Taylor, President, as its authorized official.Information from the official NPPES registry record, last updated June 16, 2008.

NPPES Registry Identity

NPI1881730851
Entity TypeOrganization
Legal Business NameEVERGREEN PRESBYTERIAN MINISTRIES OF TEXAS, INC.
Location Address107 STEVEN STKilgore, TX 75662-9613
Mailing Address2101 Highway 80Haughton, LA 71037-9488 · (318) 949-5500
Organization SubpartNo
Authorized OfficialJohn R TaylorPresident · (318) 949-5500
Enumeration DateJanuary 29, 2007
Last NPPES UpdateJune 16, 2008
NPI 1881730851 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Intermediate Care Facility, Intellectual Disabilities

Taxonomy 315P00000X · Nursing & Custodial Care Facilities

Licensed in TX · 115719

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

107 STEVEN ST, Kilgore, TX 75662

Also on File with NPPES

Other Names1
Evergreen Stevens Community Home (Doing Business As)
Other Identifiers1
000757901 (Medicaid, TX)

Reviews for EVERGREEN STEVENS COMMUNITY HOME

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881730851, enumerated as an "organization" on January 29, 2007.

The provider is located at 107 STEVEN ST KILGORE, TX 75662 and the phone number is (903) 643-7022.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.