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EVERGREEN PRESBYTERIAN MINISTRIES INC. NPI 1881748333


NPI Information

NPI: 1881748333
Provider Name: EVERGREEN PRESBYTERIAN MINISTRIES, INC.

Doing Business As: WINDERMERE COMMUNITY HOME

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
404 WINDERMERE BLVD
ALEXANDRIA, LA
ZIP 71303
Phone: (318) 445-8615
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EVERGREEN PRESBYTERIAN MINISTRIES, INC. is an intermediate care facility mentally retarded in Alexandria, LA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. EVERGREEN PRESBYTERIAN MINISTRIES, INC. NPI is 1881748333. The provider is registered as an organization entity type.
The provider Is Doing Business As Windermere Community Home.

The provider's business location address is:

404 WINDERMERE BLVD
ALEXANDRIA, LA
ZIP 71303-938
Phone: (318) 445-8615

The provider's authorized official is John R Taylor .
The authorized official title is President and has the following contact phone number (318) 949-5500.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 4/3/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Intellectual Disabilities660LOUISIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11719331MEDICAIDLOUISIANA

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: 4/28/2024

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