EVERGREEN OK COMPANION SUPPORT – NPI #1740308857
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.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

EVERGREEN OK COMPANION SUPPORT is a community based residential treatment facility located in OKLAHOMA CITY, OK. NPPES has assigned the NPI number 1740308857 to EVERGREEN OK COMPANION SUPPORT on March 27, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. EVERGREEN OK COMPANION SUPPORT is also known by the name 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.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 EVERGREEN OK COMPANION SUPPORT below.

NPI Profile for
EVERGREEN OK COMPANION SUPPORT

NPI Number
1740308857
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EVERGREEN OK COMPANION SUPPORT
Other Name: EVERGREEN PRESBYTERIAN MINISTRIES, INC.
Primary location
7725 W BRITTON RD
OKLAHOMA CITY, OK 73132-1507
Phone: (405) 720-1192 Fax: (405) 720-1193
Mailing address
2101 HIGHWAY 80
HAUGHTON, LA 71037-9488
Phone: (318) 742-8440 Fax: (318) 752-5448
Organization Subpart
No
Authorized Official
JOHN TAYLOR
PRESIDENT
Phone: (318) 742-8440
Updated
Identifiers

Identifiers for EVERGREEN OK COMPANION SUPPORT

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.

DescriptionIssuerStateIdentifier
MEDICAIDOK100645750G-G620
Taxonomy Code(s)

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)

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.