EVERGREEN PRESBYTERIAN MINISTRIES, INC.


Address: 203 Espanita Blvd, Haughton, LA 71037-5903
Phone: 3187428440

EVERGREEN PRESBYTERIAN MINISTRIES, INC. (NPI# 1063560621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063560621
Entity Type Organization
Organization Name EVERGREEN PRESBYTERIAN MINISTRIES, INC.
Other Organization Name ESPANITA WOODS COMMUNITY HOME
Practice Address 203 Espanita Blvd
Haughton
LA 71037-5903
Mailing Address 2101 Highway 80
Haughton
LA 71037-9488
Practice Telephone 3187428440
Mailing Telephone 3189495500
Enumeration Date 2007-01-08
Last Update Date 2008-06-12
Authorized Official Name JOHN R TAYLOR (PRESIDENT)
Authorized Official Telephone 3189495500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 315P00000X Intermediate Care Facility, Mentally Retarded 472 LA Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Espanita Woods Community Home Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1720539299 Evergreen Presbyterian Ministries, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 15212 Wadesboro Dr., Ponchatoula, LA 70454 2016-10-20
1770931503 Evergreen Presbyterian Ministries, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 24345 Harvey Lavigne Road, Ponchatoula, LA 70454 2016-06-02
1265880488 Evergreen Presbyterian Ministries, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3622 Groom Road, Baker, LA 70714 2016-05-27
1679921860 Evergreen Presbyterian Ministries, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 10599 Gatlin Road, Hammond, LA 70403 2016-05-27
1376991570 Evergreen Presbyterian Ministries, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 15822 Demarco Lane, Hammond, LA 70403 2016-05-27
1700234903 Evergreen Presbyterian Ministries, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 42175 Billville Road, Hammond, LA 70403 2016-05-27
1518315738 Evergreen Presbyterian Ministries, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5636 Brownfield Road, Baton Rouge, LA 70808 2016-05-27
1306294731 Evergreen Presbyterian Ministries, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 21147 Highway 22, Ponchatoula, LA 70454-7941 2016-05-26
1316393531 Evergreen Presbyterian Ministries, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1538 Camellia Dr, Hammond, LA 70403-6228 2016-05-06
1881049211 Evergreen Presbyterian Ministries, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 103 East Pecan St., Ponchatoula, LA 70454 2016-05-04

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities EVERGREEN PRESBYTERIAN MINISTRIES, INC. 2101 Hwy 80, Haughton, LA 71037-9488

Office Location

Street Address 203 ESPANITA BLVD
City HAUGHTON
State LA
Zip Code 71037-5903

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609480920 Lance Danos Physical Therapist 4615 Us-80, #9, Haughton, LA 71037 2020-09-03
1699392589 Minden Physician Practices LLC Clinic/Center 170 Healthcare Plaza, Haughton, LA 71037 2020-06-26
1427590942 Elvira Poole Counselor 1122 Bellevue Rd., Haughton, LA 71037 2016-11-15
1558622563 Haughton Vision, LLC Optometrist 4010 Hwy 80, Haughton, LA 71037 2012-06-06
1518138528 Suzanne Owens Craig Counselor 1825 Hwy 80 East, Haughton, LA 71037 2008-03-18
1861523730 Louisiana Cvs Pharmacy, LLC Durable Medical Equipment & Medical Supplies 998 Highway 80, Haughton, LA 71037 2007-03-09
1992832083 Alan Brent Berry Dentist 2900 Hwy. 80 East, Haughton, LA 71037 2007-02-27
1922036763 Wk Haughton Medical Group Family Medicine 1025 Highway 80 E, Haughton, LA 71037 2006-06-29
1083044523 Life Investment Group, LLC Community/Behavioral Health 105 E Washington Ave, Haughton, LA 71037-6000 2013-11-20
1457534273 Nutisha Lacole Simmons Specialist/Technologist, Other 4594 Pine Crest Dr, Haughton, LA 71037-6502 2007-12-14
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Taxonomy Information

Taxonomy Code 315P00000X
Grouping Nursing & Custodial Care Facilities
Classification Intermediate Care Facility, Mentally Retarded

Taxonomy Definition

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043368442 Evergreen Presbyterian Ministries, Inc. Intermediate Care Facility, Mentally Retarded 429 S Elm St, Haughton, LA 71037-9684 2007-01-08

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1174136527 St. Mary's Residential Training School Intermediate Care Facility, Mentally Retarded 1901 Huie Dellmon Ave, Boyce, LA 71409-9329 2020-08-26
1174136535 St. Mary's Residential Training School Intermediate Care Facility, Mentally Retarded 1903 Huie Dellmon Ave, Boyce, LA 71409-9329 2020-08-26
1427613371 Lisa Williams Intermediate Care Facility, Mentally Retarded 1202 St. Maurice Ave, New Orleans, LA 70117-7011 2019-05-07
1700324084 Magnolia Community Services, Inc Intermediate Care Facility, Mentally Retarded 821 Jefferson Heights Ave., Jefferson, LA 70121 2017-02-07
1801260468 Magnolia Community Services, Inc Intermediate Care Facility, Mentally Retarded 143 Central Ave, Jefferson, LA 70121-3401 2015-11-19
1669867545 Wendover Community Home Intermediate Care Facility, Mentally Retarded 4607 Wendover Blvd, Alexandria, LA 71303-2528 2015-03-30
1538554423 West Pointe Community Home Intermediate Care Facility, Mentally Retarded 6218 W Pointe Blvd, Alexandria, LA 71303-2000 2015-03-30
1073904389 Normal Life of Louisiana, Inc. Intermediate Care Facility, Mentally Retarded 15460 Tracey Ln, Independence, LA 70443-2470 2015-02-09
1306276639 The Arc of Sabine Inc Intermediate Care Facility, Mentally Retarded 200 Dockens Dr, Many, LA 71449-3852 2013-11-22
1326304445 Cdf Healthcare of La, LLC Intermediate Care Facility, Mentally Retarded 596 Midway Church Lane, Delhi, LA 71232 2012-04-03
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Competitor

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City HAUGHTON
Zip Code 71037

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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