EVERGREEN PRESBYTERIAN MINISTRIES, INC.


Address: 906 C M Fagan Dr, Suite 6-a, Hammond, LA 70403-6056
Phone: 9855436591

EVERGREEN PRESBYTERIAN MINISTRIES, INC. (NPI# 1609014190) 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) 1609014190
Entity Type Organization
Organization Name EVERGREEN PRESBYTERIAN MINISTRIES, INC.
Other Organization Name SELA COMMUNITY SERVICES SIL
Practice Address 906 C M Fagan Dr
Suite 6-a
Hammond
LA 70403-6056
Mailing Address 2101 Highway 80
Haughton
LA 71037-9488
Practice Telephone 9855436591
Practice Fax Number 9855436638
Mailing Telephone 3189495500
Mailing Fax Number 3189495555
Enumeration Date 2009-01-22
Last Update Date 2009-01-22
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 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 9957 LA Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
LA 9957 05

Other Provider/Organization Names

Other Name Type Code
SELA Community Services SIL 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 906 C M FAGAN DR
SUITE 6-A
City HAMMOND
State LA
Zip Code 70403-6056

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699832931 David O. C. Adkins Counselor 906 C M Fagan Dr, Suite A-3, Hammond, LA 70403-6056 2007-01-03
1609140599 Attentive Hospice Metairie, LLC Hospice Care, Community Based 906 C M Fagan Dr, Suite 6b, Hammond, LA 70403-6056 2012-02-24
1437439312 James Charles Smith Psychologist 906 C M Fagan Dr, Suite 5b, Hammond, LA 70403-6056 2011-08-23
1629216700 Evergreen Presbyterian Ministries, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 906 C M Fagan Dr, Suite 6-a, Hammond, LA 70403-6056 2009-01-28
1538315544 Jennifer V Daigle Counselor 906 C M Fagan Dr, Suite 1-b, Hammond, LA 70403-6056 2008-08-09
1275702151 Assured Health Care Providers, L.L.C. Day Training, Developmentally Disabled Services 906 C M Fagan Dr, Ste A-4, Hammond, LA 70403-6056 2008-02-26
1255500138 Assured Health Care Providers, LLC Day Training, Developmentally Disabled Services 906 C M Fagan Dr, Ste A-4, Hammond, LA 70403-6056 2008-02-26
1265601140 Assured Health Care Providers, L.L.C. Hospice Care, Community Based 906 C M Fagan Dr, Ste A-4, Hammond, LA 70403-6056 2008-02-26
1437328317 Assured Health Care Providers, L.L.C. Home Health 906 C M Fagan Dr, Ste A-4, Hammond, LA 70403-6056 2008-02-26
1811166945 Assured Health Care Providers, L.L.C. Day Training, Developmentally Disabled Services 906 C M Fagan Dr, Ste A-4, Hammond, LA 70403-6056 2008-02-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366074403 Elizabeth M Norman Nurse Practitioner 19065 Dr John Lambert Drive, Hammond, LA 70403 2020-02-06
1942830757 Trinity Wellness Counseling LLC. Social Worker 43171 Tillman Dr, Hammond, LA 70403 2020-01-21
1407419138 Cypress Pointe Urgent Care, LLC Clinic/Center 19065 Dr. John Lambert Drive, Hammond, LA 70403 2019-04-18
1700341724 Taylor Kioria Johnson Specialist/Technologist 40151 Macedonia Rd, Hammond, LA 70403 2019-02-04
1912478264 Julean Marie Walters Behavioral Analyst 1250 Sw Railroad Ave., Suite 130, Hammond, LA - LOUISIANA 70403 2018-12-16
1659849263 Andie Street Speech-Language Pathologist 1000 Cm Fagan Drive, Unit C, Hammond, LA 70403 2018-11-13
1932684701 Kurt Edwin Dichiara Chiropractor 1330 S Magnolia St, Suite B, Hammond, LA 70403 2018-09-27
1225529175 Heart To Heart Counseling & Counseling Social Worker 30430 Dawson Ln, Hammond, LA 70403 2018-05-27
1477041630 Epiphany Healthcare of Hammond Psychiatry & Neurology 906 Cm Fagan Drive Bldg A Ste 6a, Hammond, LA 70403 2018-04-24
1457850158 Dynamic Performance Chiropractic of Hammond Chiropractor 1330 South Magnolia, Suite B, Hammond, LA 70403 2018-02-08
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
1275721573 Happy Haven Homes Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 44041 Stein Rd, Hammond, LA 70403-2511 2007-10-11
1366630667 Happy Haven Homes Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 42630 Hinson Rd, Hammond, LA 70403-3216 2007-10-11
1376731869 Happy Haven Homes Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 11365 Perret St, Hammond, LA 70401-4605 2007-10-09
1184839516 Lynn Lane Community Home Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities #3 Lynn Lane, Hammond, LA 70401 2007-05-11
1629216700 Evergreen Presbyterian Ministries, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 906 C M Fagan Dr, Suite 6-a, Hammond, LA 70403-6056 2009-01-28
1356540470 Hammond Developmental Center Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 45439 Live Oak Dr, Hammond, LA 70401-4526 2007-07-18
1891919262 Options Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 19362 W Shelton Rd, Hammond, LA 70401-8251 2007-04-13
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Competitor

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City HAMMOND
Zip Code 70403

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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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