Evergreen Moores Lane Community Home
Intermediate care facility for individuals with intellectual disabilities in Texarkana, TX, Medicare certification number 45G425.
Medicare certification
Provider of Services- CCN
- 45G425
- Status
- Active
- Provider type
- Intermediate care facility for individuals with intellectual disabilities
- Control type
- Private (non-profit)
- Participating since
- Oct 10, 1990
- Last certification
- Jul 8, 2025
- Beds
- 6
- Address
- 3611 Moores LN
Texarkana, TX 75503
(903) 832-2682
NPI records for this facility (CCN to NPI Mapping) 1
-
- Intellectual Disabilities Intermediate Care Facility
- Texarkana, TX
- NPI 1336285857
Name & address match
Other intermediate care facilities for individuals with intellectual disabilities in Texarkana, TX
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.