EVERGREEN PRESBYTERIAN MINISTRIES OF TEXAS, INC. (NPI# 1306984349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306984349 |
| Entity Type | Organization |
| Organization Name | EVERGREEN PRESBYTERIAN MINISTRIES OF TEXAS, INC. |
| Other Organization Name | EVERGREEN WAGNER COMMUNITY HOME |
| Practice Address |
7905 Peregrine Trl Arlington TX 76001-6137 |
| Mailing Address |
2101 Highway 80 Haughton LA 71037-9488 |
| Practice Telephone | 8174775600 |
| Mailing Telephone | 3189495500 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2008-06-17 |
| Authorized Official Name | JOHN R TAYLOR (PRESIDENT) |
| Authorized Official Telephone | 3189495500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 117486 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 001012498 | 05 |
| Other Name | Type Code |
|---|---|
| Evergreen Wagner Community Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053450270 | Evergreen Presbyterian Ministries of Texas, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1319 Magnolia St, Texarkana, TX 75501-4440 | 2007-02-05 |
| 1023156726 | Evergreen Presbyterian Ministries of Texas, Inc. | Intermediate Care Facility, Mentally Retarded | 225 Syble Ln, Longview, TX 75605-9251 | 2007-02-02 |
| 1417095712 | Evergreen Presbyterian Ministries of Texas, Inc. | Intermediate Care Facility, Mentally Retarded | 329 Montana Dr, Arlington, TX 76002-4473 | 2007-02-01 |
| 1194863225 | Evergreen Presbyterian Ministries of Texas, Inc. | Intermediate Care Facility, Mentally Retarded | 159 Carriage Estates Rd, Sherman, TX 75092-4421 | 2007-02-01 |
| 1669519617 | Evergreen Presbyterian Ministries of Texas, Inc. | Intermediate Care Facility, Mentally Retarded | 911 Salida Dr, Arlington, TX 76001-6122 | 2007-01-31 |
| 1730226408 | Evergreen Presbyterian Ministries of Texas, Inc. | Intermediate Care Facility, Mentally Retarded | 5322 Hidden Ct, Garland, TX 75043-4832 | 2007-01-31 |
| 1073650040 | Evergreen Presbyterian Ministries of Texas, Inc. | Intermediate Care Facility, Mentally Retarded | 1732 Northbrook Ln, Sherman, TX 75092-6023 | 2007-01-31 |
| 1932246956 | Evergreen Presbyterian Ministries of Texas, Inc. | Intermediate Care Facility, Mentally Retarded | 530 Pebblecreek Dr, Garland, TX 75040-3605 | 2007-01-31 |
| 1982741997 | Evergreen Presbyterian Ministries of Texas, Inc. | Intermediate Care Facility, Mentally Retarded | 1901 Island View Dr, Mesquite, TX 75149-5425 | 2007-01-31 |
| 1699812628 | Evergreen Presbyterian Ministries of Texas, Inc. | Intermediate Care Facility, Mentally Retarded | 6218 Echo Summit Ln, Arlington, TX 76017-1906 | 2007-01-31 |
| Street Address |
7905 PEREGRINE TRL |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76001-6137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958229 | Patients Choice, LLC | Durable Medical Equipment & Medical Supplies | 719 W. Harris St., Suite B10, Arlington, TX 76001 | 2020-06-25 |
| 1396248688 | Holly Daniels | Health Educator | 7120 S. Cooper St., Arlington, TX 76001 | 2018-03-13 |
| 1629577036 | Samuel Kromer | Health Educator | 7120 S. Cooper Street, Arlington, TX 76001 | 2018-02-12 |
| 1578089678 | Lone Star Assist LLC | Specialist/Technologist, Other | 7802 Fox Chase Dr., Arlington, TX 76001 | 2017-08-21 |
| 1427595263 | Tayo Osiyemi | Behavior Technician | 6408 Rock Springs, Arlington, TX 76001 | 2017-01-31 |
| 1922555911 | Arlington-mansfield Area Young Men's Christian Association | Health Educator | 7201 S Cooper St, Arlington, TX 76001 | 2016-09-07 |
| 1356732267 | Jayce Rodriguez | Physician Assistant | 8015 S. Cooper Street, Arlington, TX 76001 | 2015-02-13 |
| 1194069849 | Kathryn Elise Johnson | Counselor | 7100 S Cooper St Ste 9, Arlington, TX 76001 | 2012-11-19 |
| 1831473305 | Jae Brimhall | Dentist | 6501 S Cooper St Ste 129, Arlington, TX 76001 | 2011-10-03 |
| 1114226990 | Resource Hcs & Txhml | Community/Behavioral Health | 7901 Modesto Dr, Arlington, TX 76001 | 2011-03-20 |
| Find all providers in zip 76001 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952773053 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11003 Highway 70, Arlington, TN 38002 | 2015-10-28 |
| 1124490222 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11443 Arlington Woods Cove, Arlington, TN 38002 | 2015-10-28 |
| 1245602341 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11455 Arlington Woods Cove, Arlington, TN 38002 | 2015-10-28 |
| 1063884153 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11456 Arlington Woods Cove, Arlington, TN 38002 | 2015-10-28 |
| 1205208543 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 10926 Luboc Road, Arlington, TN 38002 | 2015-10-27 |
| 1568834802 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11005 Highway 70, Arlington, TN 38002 | 2015-10-27 |
| 1265804470 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 95 Oak Hill Lane, Arlington, TN 38002 | 2015-10-27 |
| 1992177638 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 5982 Polk Street, Arlington, TN 38002 | 2015-10-21 |
| 1295107944 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 7405 Osborntown Road, Arlington, TN 38002 | 2015-10-21 |
| 1659743300 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11444 Arlington Woods Cove, Arlington, TN 38002 | 2015-10-21 |
| Find all providers in ARLINGTON | ||||
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| 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.