Evergreen Presbyterian Ministries of Texas, Inc.
NPI 1063558138 · Intellectual Disabilities Intermediate Care Facility · Texarkana, TX
Evergreen Presbyterian Ministries of Texas, Inc. is a Intellectual Disabilities Intermediate Care Facility organization in Texarkana, TX (NPI 1063558138).
Provider details
- NPI number
- 1063558138
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- John Taylor, President(318) 949-5500
- License
- 115404 (TX)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Evergreen Cooper Lane Community Home
Registry dates
- Enumerated
- 2007-01-29
- Last updated
- 2008-06-16
Frequently asked questions
- What is Evergreen Presbyterian Ministries of Texas, Inc.'s NPI number?
- Evergreen Presbyterian Ministries of Texas, Inc.'s National Provider Identifier (NPI) is 1063558138, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Presbyterian Ministries of Texas, Inc.?
- Evergreen Presbyterian Ministries of Texas, Inc. is classified in the NPPES registry as Intellectual Disabilities Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Evergreen Presbyterian Ministries of Texas, Inc. located?
- Evergreen Presbyterian Ministries of Texas, Inc.'s practice location on file with NPPES is 3312 Cooper Ln, Texarkana, TX 75503-0025.
- What is Evergreen Presbyterian Ministries of Texas, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Evergreen Presbyterian Ministries of Texas, Inc. is (903) 831-4632.
- Who is the authorized official for Evergreen Presbyterian Ministries of Texas, Inc.?
- The authorized official listed on Evergreen Presbyterian Ministries of Texas, Inc.'s NPPES record is John Taylor, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Presbyterian Ministries of Texas, Inc.'s NPI active?
- Yes — Evergreen Presbyterian Ministries of Texas, Inc.'s NPI (1063558138) is active in the NPPES registry as of the last update on 2008-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.