Active NPI
Evergreen Presbyterian Ministries, Inc.
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Independence, LA
National Provider Identifier
1598083867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- EVERGREEN PRESBYTERIAN MINISTRIES, INC.
- Practice address
- 27683 Ivy Springs Dr
Independence, LA 70443-4927 - Phone
- (318) 949-5500
- Fax
- (318) 949-5555
- NPI assigned
- May 12, 2010
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. John R Taylor
- Title
- President
- Phone
- (318) 949-5500
National Provider Directory
National Provider Directory- Tax ID family
- Evergreen Ok Ther Leave Vocational Support
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Developmentally Disabled Services Day Training Agency
- Natchitoches, LA
- NPI 1467591859
-
- Intellectual Disabilities Intermediate Care Facility
- Pineville, LA
- NPI 1477607901
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Minden, LA
- NPI 1477608974
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Sulphur, LA
- NPI 1497183222
-
- Intellectual Disabilities Intermediate Care Facility
- Minden, LA
- NPI 1497800031
-
- Developmentally Disabled Services Day Training Agency
- Pineville, LA
- NPI 1508910811
-
- Intellectual Disabilities Intermediate Care Facility
- Minden, LA
- NPI 1518012103
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Baton Rouge, LA
- NPI 1518315738
-
- Intellectual Disabilities Intermediate Care Facility
- Shongaloo, LA
- NPI 1528113420
-
- Intellectual Disabilities Intermediate Care Facility
- Baton Rouge, LA
- NPI 1538205778
-
- Intellectual Disabilities Intermediate Care Facility
- Minden, LA
- NPI 1538214150
-
- Intellectual Disabilities Intermediate Care Facility
- Bossier City, LA
- NPI 1538217930
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
27683 Ivy Springs Dr
Independence, LA 70443-4927
Mailing address
2101 Highway 80
Haughton, LA 71037-9488
Phone (318) 949-5500
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| APPLIED FOR | Medicaid | LA |
Other names 1
NPPES NPI Registry- Ivy Springs Community Home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 12, 2010.
{
"created_epoch": "1273622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1273622400000",
"number": "1598083867",
"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": "27683 IVY SPRINGS DR",
"city": "INDEPENDENCE",
"state": "LA",
"postal_code": "704434927",
"telephone_number": "318-949-5500",
"fax_number": "318-949-5555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVERGREEN PRESBYTERIAN MINISTRIES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-12",
"last_updated": "2010-05-12",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "318-949-5500",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "APPLIED FOR",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ivy Springs Community Home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Independence, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.