EVERGREEN PRESBYTERIAN MINISTRIES, INC. – NPI #1881049211
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 PRESBYTERIAN MINISTRIES, INC. is a community based residential treatment facility located in PONCHATOULA, LA. NPPES has assigned the NPI number 1881049211 to EVERGREEN PRESBYTERIAN MINISTRIES, INC. on May 04, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 EVERGREEN PRESBYTERIAN MINISTRIES, INC. below.

NPI Profile for
EVERGREEN PRESBYTERIAN MINISTRIES, INC.

NPI Number
1881049211
Enumeration Date

(more than 10 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 PRESBYTERIAN MINISTRIES, INC.
Primary location
103 EAST PECAN ST.
PONCHATOULA, LA 70454
Phone: (985) 386-2360 Fax: (985) 386-9380
Mailing address
2101 HIGHWAY 80
HAUGHTON, LA 71037-9488
Phone: (318) 949-5500 Fax: (318) 949-5555
Organization Subpart
No
Authorized Official
MERLON CRAFT
EXECUTIVE VICE PRESIDENT / CFO
Phone: (318) 949-5515
Updated
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.