AMANDA ROCK COMMUNITY HOME – NPI #1457678591
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
AMANDA ROCK COMMUNITY HOME is a community based residential treatment facility located in LEESVILLE, LA. NPPES has assigned the NPI number 1457678591 to AMANDA ROCK COMMUNITY HOME on April 29, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AMANDA ROCK COMMUNITY HOME” is a dba name, the actual legal business name for this organization is EVERGREEN PRESBYTERIAN MINISTRIES, INC.. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AMANDA ROCK COMMUNITY HOME below.
NPI Profile for
EVERGREEN PRESBYTERIAN MINISTRIES, INC.
(more than 16 years ago)
LEESVILLE, LA 71446-3035 Phone: (318) 949-5500 Fax: (318) 949-5555
HAUGHTON, LA 71037-9488 Phone: (318) 949-5500 Fax: (318) 949-5555
PRESIDENT
Phone: (318) 949-5500
Identifiers for AMANDA ROCK COMMUNITY HOME
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | LA | APPLIED FOR |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary) |
LA | APPLIED FOR |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.