EVERGREEN PRESBYTERIAN MINISTRIES, INC. (NPI# 1326192634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326192634 |
| Entity Type | Organization |
| Organization Name | EVERGREEN PRESBYTERIAN MINISTRIES, INC. |
| Other Organization Name | EVERGREEN COMMUNITY SERVICES-CLA PCA |
| Practice Address |
920 Main St Pineville LA 71360-6408 |
| Mailing Address |
2101 Highway 80 Haughton LA 71037-9488 |
| Practice Telephone | 3184454470 |
| Mailing Telephone | 3189495500 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2008-06-12 |
| 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 | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | PCA 2623 | LA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1957054 | 05 |
| Other Name | Type Code |
|---|---|
| Evergreen Community Services-CLA PCA | Doing Business As Name - Organization |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EVERGREEN PRESBYTERIAN MINISTRIES, INC. | 2101 Hwy 80, Haughton, LA 71037-9488 |
| Street Address |
920 MAIN ST |
| City | PINEVILLE |
| State | LA |
| Zip Code | 71360-6408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508910811 | Evergreen Presbyterian Ministries, Inc. | Day Training, Developmentally Disabled Services | 920 Main St, Pineville, LA 71360-6408 | 2007-01-23 |
| 1306990593 | Evergreen Presbyterian Ministries, Inc. | Respite Care | 920 Main St, Pineville, LA 71360-6408 | 2007-01-23 |
| 1194879569 | Evergreen Presbyterian Ministries, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 920 Main St, Pineville, LA 71360-6408 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578110789 | Reneisha Armonii Roberts | Pharmacist | 3100 La-28, Pineville, LA 71360 | 2019-08-22 |
| 1396303145 | Tina Marie Lawhorn | Nurse Practitioner | 2945 Shreveport Hwy, Pineville, LA 71360 | 2019-06-05 |
| 1942773213 | Tioga Pharmacy LLC | Pharmacy | 5101 Shreveport Hwy, Pineville, LA 71360 | 2019-01-09 |
| 1649755497 | Jessica Wooten | Nurse Practitioner | 292 Jerry Lofton Rd, Pineville, LA 71360 | 2018-09-27 |
| 1215421995 | Elizabeth Simon-clark | Counselor | Central La State Hospital Unit 6 Meadows Lane, Pineville, LA 71360 | 2018-06-18 |
| 1982116497 | Dm Properties of Rapides, LLC | Radiology | 2705 Highway 28 E Ste B, Pineville, LA 71360 | 2017-10-25 |
| 1508384587 | Marion Patrick Hazelton I | Counselor | Pathways Red River Treatment Center, 242 West Shamrock Ave Unit 6 Melody Lane, Pineville, LA 71360 | 2017-08-30 |
| 1669902557 | Jessica Williams | Social Worker | Unit 6 Wing A Meadow Lane, Pineville, LA 71360 | 2017-06-14 |
| 1104365840 | Naomi Gates | Social Worker | 242 W Shamrock Unit 1, Pineville, LA 71360 | 2017-02-14 |
| 1861930224 | Sharon Humphrey | Counselor | 5400 Service Rd B206, Pineville, LA 71360 | 2017-02-06 |
| Find all providers in zip 71360 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417120536 | Colwell Interest, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1621 Susek Dr, Pineville, LA 71360-5483 | 2008-04-09 |
| 1942488341 | L.e.a. & A, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2560 Hickory Hill Rd, Pineville, LA 71360-7348 | 2008-02-07 |
| 1679756324 | Pinecrest Developmental Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5602 Mar Bud Trace, Pineville, LA 71361 | 2007-12-17 |
| 1912211525 | Colwell Health Services, Limited Liability Company | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 600 Edgewood Dr, Pineville, LA 71360-4527 | 2010-08-06 |
| 1336367085 | Pinecrest Developmental Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 100 Pinecrest Drive, Pineville, LA 71361 | 2007-04-20 |
| 1194879569 | Evergreen Presbyterian Ministries, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 920 Main St, Pineville, LA 71360-6408 | 2007-01-23 |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.