NPIMap

Organization Active NPI

Evergreen Presbyterian Ministries, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Vinton, LA
National Provider Identifier
1124366539
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
6705 Issued in LA
Legal business name
EVERGREEN PRESBYTERIAN MINISTRIES, INC.
Practice address
1340 Horridge St
Vinton, LA 70668-4532
Phone
(318) 949-5500
Fax
(318) 949-5555
NPI assigned
Jan 18, 2013
Last updated
Jan 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Merlon K Craft
Title
Executive Vice President / Cfo
Phone
(318) 949-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 6705 LA Primary

Addresses

Primary practice location

1340 Horridge St
Vinton, LA 70668-4532

Mailing address

2101 Highway 80
Haughton, LA 71037-9488
Phone (318) 949-5500

National Provider Directory

National Provider Directory
Tax ID family
Evergreen Presbyterian Ministries of Middle TN120 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 22

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1124366539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 HIGHWAY 80",
            "city": "HAUGHTON",
            "state": "LA",
            "postal_code": "710379488",
            "telephone_number": "318-949-5500",
            "fax_number": "318-949-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 HORRIDGE ST",
            "city": "VINTON",
            "state": "LA",
            "postal_code": "706684532",
            "telephone_number": "318-949-5500",
            "fax_number": "318-949-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN PRESBYTERIAN MINISTRIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "CRAFT",
        "authorized_official_first_name": "MERLON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT / CFO",
        "authorized_official_telephone_number": "318-949-5500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "6705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vinton, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.