Evergreen Presbyterian Ministries, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

EVERGREEN PRESBYTERIAN MINISTRIES, INC.

Doing business as

Evergreen East Kentucky Services

Practice address

1128 S Park Dr
Bowling Green, KY 42103-2417

Phone

(270) 846-0565

NPI assigned

May 23, 2025

Organization subpart

No

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

Authorized official

Name

Jarrod Adams

Title

Regional Vice President

Phone

(318) 949-5500

Specialties & licenses 1

Addresses

Other names 1

• Evergreen East Kentucky Services Doing business as

Tax ID family

Evergreen Presbyterian Ministries of West TN120 organizations share this tax ID, including this one

Locations

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1619760618",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 S PARK DR",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421032417",
            "telephone_number": "270-846-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN PRESBYTERIAN MINISTRIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JARROD",
        "authorized_official_title_or_position": "REGIONAL VICE PRESIDENT",
        "authorized_official_telephone_number": "318-949-5500"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen East Kentucky Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Evanczyk, APRN
• Donald Evans, LCSW
• Jeremy Michael Evans, M.S. BCBA, LBA
• Keana Denise Evans, RBT
• Keenah Evans, KCSA
• Donna Carol Everly, MAE, DI
• Emma G Evers, RBT
• Evolving Lives LLC
• Extendicare Homes, Inc. (Medco Center of Bowling Green)
• Manuel A Fadul Noy

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.