EVERGREEN PRESBYTERIAN MINISTRIES, INC.


Address: 103 East Pecan St., Ponchatoula, LA 70454
Phone: 9853862360

EVERGREEN PRESBYTERIAN MINISTRIES, INC. (NPI# 1881049211) 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) 1881049211
Entity Type Organization
Organization Name EVERGREEN PRESBYTERIAN MINISTRIES, INC.
Practice Address 103 East Pecan St.
Ponchatoula
LA 70454
Mailing Address 2101 Highway 80
Haughton
LA 71037-9488
Practice Telephone 9853862360
Practice Fax Number 9853869380
Mailing Telephone 3189495500
Mailing Fax Number 3189495555
Enumeration Date 2016-05-04
Last Update Date 2016-05-04
Authorized Official Name MERLON KENT CRAFT (EXECUTIVE VICE PRESIDENT / CFO)
Authorized Official Telephone 3189495515
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 Residential Treatment Facilities

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
1619321361 Evergreen Presbyterian Ministries, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 20098 Highway 22, Ponchatoula, LA 70454-6776 2016-04-19

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 103 EAST PECAN ST.
City PONCHATOULA
State LA
Zip Code 70454

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861093478 Alexis Kylie Spence Physician Assistant 1668 Us 51 N, Ponchatoula, LA 70454 2020-11-02
1982246740 Stephanie R Mason Pharmacist 1331 Us-51 Bus, Ponchatoula, LA 70454 2019-10-14
1659879070 Jessica Barrett Behavioral Analyst 21 Industrial Park Blvd Bldg A, Ponchatoula, LA 70454 2018-01-31
1124531397 Mary F Smith Counselor 100 N 13th St, Ponchatoula, LA 70454 2017-11-09
1831625201 Endia Geter Counselor 665 E Beech St, Ponchatoula, LA 70454 2017-05-04
1508392069 Deep South Family Dentistry Dentist 1160 Hwy 51 North, Ponchatoula, LA 70454 2017-05-03
1720539299 Evergreen Presbyterian Ministries, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 15212 Wadesboro Dr., Ponchatoula, LA 70454 2016-10-20
1376993360 Latasha Williams Counselor 40048 Sugarberry Drive, Ponchatoula, LA 70454 2016-06-21
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
1134592025 Shakeisha Mckay Counselor 22141 South Ridge Dr., Ponchatoula, LA 70454 2015-11-02
Find all providers in zip 70454

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
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
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
1619321361 Evergreen Presbyterian Ministries, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 20098 Highway 22, Ponchatoula, LA 70454-6776 2016-04-19
1942416425 Rene Drive Community Home Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 41198 Rene Drive, Ponchatoula, LA 70454 2007-05-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1417570847 Foundation for You Community Services LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 525 Sibley St, Natchitoches, LA 71457-4420 2020-05-20
1114556412 Grelan Muse Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3347 N Foster Dr, Baton Rouge, LA 70805-6825 2020-04-07
1619506912 Lejune's Enterprises LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5720 Saint Gerard Ave, Baton Rouge, LA 70805-3753 2020-04-07
1912545567 Safecare, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 403 Willow St, Franklin, LA 70538-6022 2019-12-13
1528613049 Arc of Acadiana, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 608 Lisa St, Rayne, LA 70578-7056 2019-08-02
1578118097 Arc of Acadiana, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1900 Electa St, Rayne, LA 70578-7056 2019-08-02
1831686435 Abiding In The Vine Care Provider Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1141 Whitney Ave Bldg 2, Gretna, LA 70056-5011 2018-04-18
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
Find all providers with the same taxonomy

Competitor

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City PONCHATOULA
Zip Code 70454

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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