EVERGREEN PRESBYTERIAN MINISTRIES OF TEXAS, INC. (NPI# 1669668604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669668604 |
| Entity Type | Organization |
| Organization Name | EVERGREEN PRESBYTERIAN MINISTRIES OF TEXAS, INC. |
| Other Organization Name | EVERGREEN ARKANSAS WAIVER SERVICES |
| Practice Address |
1319 Magnolia St Texarkana TX 75501-4440 |
| Mailing Address |
2101 Highway 80 Haughton LA 71037-9488 |
| Practice Telephone | 9037940517 |
| Practice Fax Number | 9037921861 |
| Mailing Telephone | 3189495500 |
| Mailing Fax Number | 3189495555 |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2008-06-16 |
| 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 | 251B00000X | Case Management | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 129758774 | 05 |
| Other Name | Type Code |
|---|---|
| Evergreen Arkansas Waiver Services | 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 |
| 1306984349 | Evergreen Presbyterian Ministries of Texas, Inc. | Intermediate Care Facility, Mentally Retarded | 7905 Peregrine Trl, Arlington, TX 76001-6137 | 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 |
| Street Address |
1319 MAGNOLIA ST |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75501-4440 |
| 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 |
| 1073976171 | Evergreen Presbyterian Ministries of Texas, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1319 Magnolia St, Texarkana, TX 75501-4440 | 2016-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598227951 | Shayla Lasonde Williams | Licensed Vocational Nurse | 409 Tracey Ave, Wake Village, TX 75501 | 2019-04-04 |
| 1861900904 | Tiffany Anne Baugus | Nurse Practitioner | 2600 St. Michael Drive, Texarkana, TX 75501 | 2018-01-10 |
| 1104363258 | Brent Willis | Nurse Anesthetist, Certified Registered | 203 La Grange Dr., Texarkana, TX 75501 | 2017-01-27 |
| 1154627644 | Patricia Maree Baker | Counselor | 1001 Texas Blvd., Suite 106, Texarkana, TX 75501 | 2011-02-01 |
| 1730323452 | William Leonard | Occupational Therapy Assistant | 2108 5th Street, Bridgeport, TX 75501 | 2009-04-24 |
| 1700071552 | Roger House Md, Psychiatric Services | Case Management | 2401 Summerhill Rd., Suite A, Texarkana, TX 75501 | 2007-09-13 |
| 1134248271 | Brent Bultemeier Pa | Chiropractor | 3207 New Boston Road, Texarkana, TX 75501 | 2007-03-28 |
| 1346395977 | Sharon E. Moore | Registered Nurse | Youree Drive, Shreveport, LA 75501 | 2007-01-24 |
| 1962553024 | Leary Independent School District | Local Education Agency (LEA) | 9500 W. New Boston Rd, Texarkana, TX 75501 | 2007-01-16 |
| 1780787390 | Christina Michelle Griffin | Physical Therapist | 1315 Walnut, Temple Memorial Rehabiliation Ctr, Texarkana, TX 75501 | 2006-09-07 |
| Find all providers in zip 75501 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700071552 | Roger House Md, Psychiatric Services | Case Management | 2401 Summerhill Rd., Suite A, Texarkana, TX 75501 | 2007-09-13 |
| 1306979398 | Dept of Assistive & Rehab Serv - Texarkana Field Office | Case Management | 410 Baylor St Ste C, Texarkana, TX 75501-3290 | 2007-03-13 |
| 1306903794 | The Health and Human Services Coalition of East Texas | Case Management | 122 Plaza W, Texarkana, TX 75501-5919 | 2007-01-03 |
| 1598395352 | Anew Case Management Group | Case Management | 3913 Sabine Ave, Texarkana, TX 75503-2840 | 2020-01-21 |
| 1710394333 | Susie Miller | Case Management | 5495 Summerhill Rd, Texarkana, TX 75503-4608 | 2014-07-15 |
| 1396187324 | The Lighthouse Group | Case Management | 303 Jamiston St, Texarkana, TX 75501-1842 | 2013-07-18 |
| 1598761553 | Southwest Arkansas Counseling and Mental Health Center, Inc | Case Management | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2005-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487816 | Total Restoration Behavioral Science and Counseling Center | Case Management | 9823 Brilliant Lake Dr, Humble, TX 77396-1570 | 2020-11-04 |
| 1609477157 | H.a.r Support Services, LLC | Case Management | 5608 Bellissima Way, Round Rock, TX 78665-2667 | 2020-11-02 |
| 1760081228 | Lighthouse Group Homes, LLC | Case Management | 2109 Quail Run Apt B, Mckinney, TX 75071-1013 | 2020-10-25 |
| 1760081715 | Valescere Spring Branch | Case Management | 10005 Lazy Oaks Dr, Houston, TX 77080 | 2020-10-21 |
| 1588263966 | Building Bridges With Love | Case Management | 611 Dairy Ashford Rd Apt 407, Houston, TX 77079-3925 | 2020-10-18 |
| 1720686959 | Enlightened Gems Home Healthcare, Inc. | Case Management | 6547 Beech Trail Dr, Converse, TX 78109-3373 | 2020-10-09 |
| 1114524584 | Kimberly Marie Pittard | Case Management | 3906 Figure Four Lake Ln, Richmond, TX 77406-8084 | 2020-10-07 |
| 1821605312 | Mmk Group of Texas | Case Management | 21510 Hales Hunt Ct, Spring, TX 77388-6952 | 2020-09-28 |
| 1104433853 | Amy Sanford | Case Management | 23770 Springwoods Village Pkwy Apt 258, Spring, TX 77373-5104 | 2020-09-28 |
| 1316554215 | A New Way of Life Mentoring Services | Case Management | 7601 Fm 1960 Rd E, Humble, TX 77346-2209 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on EVERGREEN PRESBYTERIAN MINISTRIES OF TEXAS, 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.