EVERGREEN PRESBYTERIAN MINISTRIES INC. NPI 1396095592

NPI Information

  • NPI: 1396095592
  • Provider Name: EVERGREEN PRESBYTERIAN MINISTRIES, INC.
  • Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
  • Entity Type: Organization
  • Doing Business As: EVERGREEN NORTH LAKE SERVICES
  • Address: 45439 LIVE OAK DR
    HAMMOND, LA
    ZIP 70401
  • Phone: (318) 949-5500

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NPI Details

EVERGREEN PRESBYTERIAN MINISTRIES, INC. is a residential treatment facility, intellectual and/or developmental disabilities in Hammond, LA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. EVERGREEN PRESBYTERIAN MINISTRIES, INC. NPI is 1396095592. The provider is registered as an organization entity type.
The provider Is Doing Business As Evergreen North Lake Services.

The provider's business location address is:

45439 LIVE OAK DR
HAMMOND, LA
ZIP 70401-526
Phone: (318) 949-5500

The provider's authorized official is Merlon Kent Craft .
The authorized official title is Chief Financial Officer and has the following contact phone number (318) 949-5500.

The enumeration date for this NPI number is 9/14/2012 and was last updated on 9/14/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities2851LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12851MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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