Evergreen Presbyterian Ministries, Inc.

Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Baton Rouge, LA

NPI 1629124458 · NPPES record last updated Jun 16, 2008

Key facts

NPI
1629124458
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual Disabilities Intermediate Care Facility 315P00000X
License
865 (LA)
Legal business name
EVERGREEN PRESBYTERIAN MINISTRIES, INC.
Practice address
12418 Morgan Meadow Ave
Baton Rouge, LA 70818-5007
Phone
(225) 262-7842
NPI assigned
Jan 26, 2007
Organization subpart
No

Authorized official

Name
John R Taylor
Title
President
Phone
(318) 949-5500

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Evergreen Ok Ther Leave Vocational Support (120 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 865 LA Yes

Addresses

Primary practice location

12418 Morgan Meadow Ave
Baton Rouge, LA 70818-5007

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
1714186MedicaidLA

Other names

  • Morgan Meadow Community Home Doing business as

Other providers in Baton Rouge, LA

All providers in Baton Rouge, LA · Intellectual Disabilities Intermediate Care Facility in Louisiana

Sources for this page

Verify at the official NPI Registry.