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PENNY DRIVE COMMUNITY HOME
NPI 1952653024
Intermediate Care Facility, Intellectual Disabilities in Vinton, LA

Active since October 12, 2012
1805 PENNY DR, VINTON, LA 70668(318) 949-5500(318) 949-5555 Get Directions Write a Review

NPPES record last updated: September 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Penny Drive Community Home NPPES

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

PENNY DRIVE COMMUNITY HOME (NPI 1952653024) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Vinton, Louisiana and active in the NPI registry since October 2012. The organization lists Merlon K Craft, Cfo, as its authorized official.

NPPES Registry Identity

NPI1952653024
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameEVERGREEN PRESBYTERIAN MINISTRIES, INC.
Location Address1805 PENNY DRVinton, LA 70668-4905
Mailing Address2101 Highway 80Haughton, LA 71037-9488 · (318) 949-5500 · Fax (318) 949-5555
Phone(318) 949-5500
Fax(318) 949-5555
Organization SubpartNo
Authorized OfficialMerlon K CraftCfo · (318) 949-5500
Enumeration DateOctober 12, 2012
Last NPPES UpdateSeptember 9, 2022
NPPES CertifiedSeptember 9, 2022
✔ NPI 1952653024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X · License 220378161 (LA)
1805 PENNY DR, Vinton, LA 70668
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Other Names 1

Doing Business AsPenny Drive Community Home

Other Identifiers 1

Medicaid1715557LA

Other Providers at the Same Location NPPES 2

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

EVERGREEN PRESBYTERIAN MINISTRIES, INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1805 PENNY DR
VINTON, LA 70668
Calcasieu Parish (318) 949-5500
CALCASIEU MULTI-HANDICAPPED
Intermediate Care Facility, Intellectual Disabilities
1805 PENNY DR
VINTON, LA 70668
Calcasieu Parish (337) 589-5429

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 1952653024. It was assigned to this organization in the NPPES registry on October 12, 2012. The provider is doing business as Penny Drive Community Home.

Where is Evergreen Presbyterian Ministries, Inc. located?

Evergreen Presbyterian Ministries, Inc. is located at 1805 Penny Dr, Vinton, LA 70668. The listed phone number is (318) 949-5500.

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 September 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.