EVERGREEN PRESBYTERIAN MINISTRIES, INC. (NPI# 1508910811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508910811 |
| Entity Type | Organization |
| Organization Name | EVERGREEN PRESBYTERIAN MINISTRIES, INC. |
| Other Organization Name | EVERGREEN SUPPORTED EMPLOYMENT-CLA |
| 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 | 251C00000X | Day Training, Developmentally Disabled Services | ADC 2403 | LA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1910368 | 05 |
| Other Name | Type Code |
|---|---|
| Evergreen Supported Employment-CLA | 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 |
|---|---|---|---|---|
| 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 |
| 1326192634 | 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 | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891071957 | Pineville Adult Day Care | Day Training, Developmentally Disabled Services | 1407 Oakland St, Pineville, LA 71360-5167 | 2011-11-02 |
| 1073752754 | Share Care Usa LLC | Day Training, Developmentally Disabled Services | 407 Highway 454 Ste D, Pineville, LA 71360-9223 | 2009-02-19 |
| 1114143674 | Pinecrest Developmental Center | Day Training, Developmentally Disabled Services | 2969 Highway 28 E, Pineville, LA 71360-5716 | 2007-04-17 |
| 1720339203 | Colwell Interest Inc | Day Training, Developmentally Disabled Services | 1407 Oakland St, Pineville, LA 71360-5167 | 2012-09-25 |
| 1700137288 | Colwell Interest Inc | Day Training, Developmentally Disabled Services | 1111 Main St, Pineville, LA 71360-6423 | 2012-09-25 |
| 1265672836 | Share Care Usa LLC | Day Training, Developmentally Disabled Services | 407 Highway 454 Ste D, Pineville, LA 71360-9223 | 2009-02-23 |
| 1710127386 | Share Care Usa LLC | Day Training, Developmentally Disabled Services | 407 Highway 454 Ste D, Pineville, LA 71360-9223 | 2009-02-23 |
| 1801036470 | Share Care Usa LLC | Day Training, Developmentally Disabled Services | 407 Highway 454 Ste D, Pineville, LA 71360-9223 | 2009-02-23 |
| 1114090933 | Alexandria Community Care LLC | Day Training, Developmentally Disabled Services | 5201 Shreveport Hwy, Pineville, LA 71360-3527 | 2006-11-17 |
| 1841364478 | Alexandria Community Care LLC | Day Training, Developmentally Disabled Services | 5201 Shreveport Hwy, Pineville, LA 71360-3527 | 2006-11-17 |
| Find all providers in PINEVILLE | ||||
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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.