EVERGREEN PRESBYTERIAN MINISTRIES OF TEXAS, INC.


Address: 329 Montana Dr, Arlington, TX 76002-4473
Phone: 8174673800

EVERGREEN PRESBYTERIAN MINISTRIES OF TEXAS, INC. (NPI# 1417095712) 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) 1417095712
Entity Type Organization
Organization Name EVERGREEN PRESBYTERIAN MINISTRIES OF TEXAS, INC.
Other Organization Name EVERGREEN JEANNETTE EARLY COMMUNITY HOME
Practice Address 329 Montana Dr
Arlington
TX 76002-4473
Mailing Address 2101 Highway 80
Haughton
LA 71037-9488
Practice Telephone 8174673800
Mailing Telephone 3189495500
Enumeration Date 2007-02-01
Last Update Date 2008-06-17
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 315P00000X Intermediate Care Facility, Mentally Retarded 114776 TX Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX 001004791 05

Other Provider/Organization Names

Other Name Type Code
Evergreen Jeannette Early Community Home Doing Business As Name - Organization

Other Provider IDs and Locations

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
1306984349 Evergreen Presbyterian Ministries of Texas, Inc. Intermediate Care Facility, Mentally Retarded 7905 Peregrine Trl, Arlington, TX 76001-6137 2007-02-02
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

Office Location

Street Address 329 MONTANA DR
City ARLINGTON
State TX
Zip Code 76002-4473

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144713611 Adegboyega Omoba Registered Nurse 1406 Anglican Drive, Arlington, TX 76002 2018-06-11
1568963767 Heather Nicole Levine Speech-Language Pathologist 600 Soledad, Arlington, TX 76002 2018-02-22
1346751732 Arch Dental of Debbie Pa Dentist 1450 Debbie Lane, Suite #130, Arlington, TX 76002 2017-10-12
1104270628 Hayley Hendon Nurse Practitioner 8200 Matlock Road, Arlington, TX 76002 2016-04-21
1770955239 M & A Pharmacy LLC Pharmacy 8200 Matlock Road, Ste 150, Arlington, TX 76002 2015-10-23
1831441898 Nupur Merchant Occupational Therapist 7100 Matlock Rd., Arlington, TX 76002 2012-10-15
1073813242 Joma Home Care Inc Clinic/Center 7401 Matlock Rd, Suite 7, Arlington, TX 76002 2010-10-22
1467786905 Olaniyi Samuel Adeoye Registered Nurse 8209 San Jose Street, Arlington, TX 76002 2009-10-01
1639319551 Kirk Henry Bradford Chiropractor 1219 E. Debbie Lane, Suite 103, Mansfield, TX 76002 2009-03-05
1366788739 Darlene Tran Co Registered Nurse 1802 Empire Cir, Arlington, TX 76002 2012-12-12
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Taxonomy Information

Taxonomy Code 315P00000X
Grouping Nursing & Custodial Care Facilities
Classification Intermediate Care Facility, Mentally Retarded

Taxonomy Definition

(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).

Providers in the same taxonomy and city

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
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Competitor

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City ARLINGTON
Zip Code 76002

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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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