EVERGREEN PRESBYTERIAN MINISTRIES,INC. (NPI# 1962892331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962892331 |
Entity Type | Organization |
Organization Name | EVERGREEN PRESBYTERIAN MINISTRIES,INC. |
Practice Address |
955 Live Oak Ct Ponchatoula LA 70454-4869 |
Mailing Address |
2101 Highway 80 Haughton LA 71037-9488 |
Practice Telephone | 3189495500 |
Practice Fax Number | 3189495555 |
Mailing Telephone | 3189495500 |
Mailing Fax Number | 3189495555 |
Enumeration Date | 2015-01-23 |
Last Update Date | 2015-01-23 |
Authorized Official Name | MR. KENT CRAFT (EXECUTIVE VICE PRESIDENT / CFO) |
Authorized Official Telephone | 3189495500 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831248210 | Evergreen Presbyterian Ministries,inc. | Intermediate Care Facility, Mentally Retarded | 2600 Douglas Dr, Bossier City, LA 71111-3452 | 2007-01-09 |
1215085626 | Evergreen Presbyterian Ministries,inc. | Intermediate Care Facility, Mentally Retarded | 174 Fulton St, Natchitoches, LA 71457-9261 | 2007-01-08 |
Street Address |
955 LIVE OAK CT |
City | PONCHATOULA |
State | LA |
Zip Code | 70454-4869 |
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 |
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 |
Find all providers in zip 70454 |
Taxonomy Code | 320600000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265041446 | Serene Living LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1567 Shirley Dr, New Orleans, LA 70114-2911 | 2020-07-23 |
1609495324 | 180 Family Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9418 Brookline Ave Ste B, Baton Rouge, LA 70809-1428 | 2020-04-13 |
1902442395 | Arc of Acadiana, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 106 Jackie Street, Rayne, LA 70578-7056 | 2019-11-21 |
1033766126 | Believe Therapeutic Group Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8566 Bayou Run Dr, New Roads, LA 70760-2454 | 2019-08-22 |
1063065217 | House of Nola | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10073 Pleasant Dr, Bastrop, LA 71220-6347 | 2019-07-17 |
1396219101 | Arc of Acadiana, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1601 East B North St, Rayne, LA 70578 | 2019-01-15 |
1316393531 | Evergreen Presbyterian Ministries, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1538 Camellia Dr, Hammond, LA 70403-6228 | 2016-05-06 |
1164801726 | Grover Therapy LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 218 Brumley Ln, Duson, LA 70529-4022 | 2015-05-28 |
1124418348 | Evergree Presbyterian Ministries, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 43488 Klein Road, Hammond, LA 70403 | 2015-01-26 |
1992101927 | Ddms of Louisiana No 2, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4532 Inchbrook Dr, Baton Rouge, LA 70816-4910 | 2014-11-19 |
Find all providers with the same taxonomy |
City | PONCHATOULA |
Zip Code | 70454 |
Please comment or provide details below to improve the information on EVERGREEN PRESBYTERIAN MINISTRIES,INC..
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.