EVERGREEN PRESBYTERIAN MINISTRIES, INC. (NPI# 1598083867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598083867 |
| Entity Type | Organization |
| Organization Name | EVERGREEN PRESBYTERIAN MINISTRIES, INC. |
| Other Organization Name | IVY SPRINGS COMMUNITY HOME |
| Practice Address |
27683 Ivy Springs Dr Independence LA 70443-4927 |
| 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 | 2010-05-12 |
| Last Update Date | 2010-05-12 |
| Authorized Official Name | MR. 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 | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | APPLIED FOR | 05 |
| Other Name | Type Code |
|---|---|
| Ivy Springs Community Home | 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 |
27683 IVY SPRINGS DR |
| City | INDEPENDENCE |
| State | LA |
| Zip Code | 70443-4927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336696830 | Nicole Blanchard Chapel | Counselor | 5001 Hwy 190, East Service Rd, Suite C6, Mandeville, LA 70443 | 2016-09-01 |
| 1043668783 | Southeast Community Health Systems | Clinic/Center | 55420 N. Railroad Avenue, Independence, LA 70443 | 2016-06-02 |
| 1144614645 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 515 3rd Street, Independence, LA 70443 | 2015-03-23 |
| 1063842912 | Moritha Johnson | Licensed Practical Nurse | 14175 Rev. J. White Rd, Independence, LA 70443 | 2013-11-13 |
| 1053749739 | Southeast Community Health Systems | Clinic/Center | 336 East Railroad Avenue, Independence, LA 70443 | 2013-10-16 |
| 1689931370 | Casey L Hastings | Emergency Medicine | 52579 Us State Route 51, Lallie Kemp, Independence, LA 70443 | 2012-04-18 |
| 1326345414 | Alfaa House Community Center | Psychiatric Hospital | 306 W 4th Street, Independence, LA 70443 | 2011-02-25 |
| 1609177864 | Charles R Genovese Jr Md Inc | Specialist | 312 E Rail Road Ave, Independence, LA 70443 | 2010-11-04 |
| 1437300233 | L A Homecare 1 Inc | In Home Supportive Care | 146 Hwy 40, C, Independence, LA 70443 | 2008-10-10 |
| 1770758120 | Ila Jean Cascio | Speech-Language Pathologist | 51642 Hwy 1065, Independence, LA 70443 | 2008-04-28 |
| Find all providers in zip 70443 | ||||
| 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 |
|---|---|---|---|---|
| 1750738084 | Building On Dreams | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 638 Rockwell Ave, Independence, MO 64056-3132 | 2016-05-17 |
| 1518245745 | Harry S Truman Childrens Neurological Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12404 E Us Highway 40, Independence, MO 64055-5954 | 2011-07-21 |
| 1386967495 | Care By Cassie Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 500 E Bellevista Dr, Independence, MO 64055-1748 | 2010-03-03 |
| 1932432291 | Care By Cassie, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3514 S Cottage Ave, Independence, MO 64055-3133 | 2009-09-17 |
| 1033383641 | Community Access | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1402 S Lees Summit Rd, Independence, MO 64050-4117 | 2008-04-15 |
| 1164601357 | Care By Cassie | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3816 S Union St, Independence, MO 64055-3150 | 2007-10-24 |
| 1760681415 | State of Missouri | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1501 N River Blvd, Independence, MO 64050-1760 | 2007-07-13 |
| 1366640914 | Center for The Developmentally Disabled | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1215 W. Truman Rd, Independence, MO 64050 | 2007-07-05 |
| 1558569103 | Center for The Developmentally Disabled | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3704 S. Blue Ridge Blvd, Independence, MO 64052 | 2007-07-05 |
| 1477672426 | Northstar Residential Care, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 18805 Hanthorne Dr, Independence, MO 64057-1676 | 2007-03-29 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 70443 |
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.