EVERGREEN PRESBYTERIAN MINISTRIES, INC. (NPI# 1720539299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720539299 |
| Entity Type | Organization |
| Organization Name | EVERGREEN PRESBYTERIAN MINISTRIES, INC. |
| Practice Address |
15212 Wadesboro Dr. Ponchatoula LA 70454 |
| 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 | 2016-10-20 |
| Last Update Date | 2016-10-20 |
| Authorized Official Name | MERLON KENT CRAFT (EXECUTIVE VICE PRESIDENT / CFO) |
| Authorized Official Telephone | 3189495515 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1619321361 | Evergreen Presbyterian Ministries, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 20098 Highway 22, Ponchatoula, LA 70454-6776 | 2016-04-19 |
| 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 |
15212 WADESBORO DR. |
| City | PONCHATOULA |
| State | LA |
| Zip Code | 70454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093478 | Alexis Kylie Spence | Physician Assistant | 1668 Us 51 N, Ponchatoula, LA 70454 | 2020-11-02 |
| 1982246740 | Stephanie R Mason | Pharmacist | 1331 Us-51 Bus, Ponchatoula, LA 70454 | 2019-10-14 |
| 1659879070 | Jessica Barrett | Behavioral Analyst | 21 Industrial Park Blvd Bldg A, Ponchatoula, LA 70454 | 2018-01-31 |
| 1124531397 | Mary F Smith | Counselor | 100 N 13th St, Ponchatoula, LA 70454 | 2017-11-09 |
| 1831625201 | Endia Geter | Counselor | 665 E Beech St, Ponchatoula, LA 70454 | 2017-05-04 |
| 1508392069 | Deep South Family Dentistry | Dentist | 1160 Hwy 51 North, Ponchatoula, LA 70454 | 2017-05-03 |
| 1376993360 | Latasha Williams | Counselor | 40048 Sugarberry Drive, Ponchatoula, LA 70454 | 2016-06-21 |
| 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 |
| 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 |
| 1134592025 | Shakeisha Mckay | Counselor | 22141 South Ridge Dr., Ponchatoula, LA 70454 | 2015-11-02 |
| Find all providers in zip 70454 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 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 |
| 1619321361 | Evergreen Presbyterian Ministries, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 20098 Highway 22, Ponchatoula, LA 70454-6776 | 2016-04-19 |
| 1942416425 | Rene Drive Community Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 41198 Rene Drive, Ponchatoula, LA 70454 | 2007-05-14 |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | PONCHATOULA |
| Zip Code | 70454 |
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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.