NPIMap

Organization Active NPI

Evergreen Presbyterian Ministries, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Ponchatoula, LA
National Provider Identifier
1770931503
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
EVERGREEN PRESBYTERIAN MINISTRIES, INC.
Practice address
24345 Harvey Lavigne Road
Ponchatoula, LA 70454
Phone
(985) 386-2360
Fax
(985) 386-9380
NPI assigned
Jun 2, 2016
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Merlon Kent Craft
Title
Executive Vice President / Cfo
Phone
(318) 949-5515

Corporate family (same tax ID) 24

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

View all 24

National Provider Directory

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

NPPES NPI Registry

Primary practice location

24345 Harvey Lavigne Road
Ponchatoula, LA 70454

Mailing address

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 2, 2016.

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1770931503",
    "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": "24345 HARVEY LAVIGNE ROAD",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "70454",
            "telephone_number": "985-386-2360",
            "fax_number": "985-386-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN PRESBYTERIAN MINISTRIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "CRAFT",
        "authorized_official_first_name": "MERLON",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT / CFO",
        "authorized_official_telephone_number": "318-949-5515",
        "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponchatoula, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.