Evergreen Haven LLC
NPI 1104616002 · Assisted Living Facility · Baxter Springs, KS
Evergreen Haven LLC is a Assisted Living Facility organization in Baxter Springs, KS (NPI 1104616002).
Provider details
- NPI number
- 1104616002
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Larry Higginbotham, Owner(417) 850-3063
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
1 yr 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
Registry dates
- Enumerated
- 2025-05-12
- Last updated
- 2025-05-12
- Certified
- 2025-05-12
Frequently asked questions
- What is Evergreen Haven LLC's NPI number?
- Evergreen Haven LLC's National Provider Identifier (NPI) is 1104616002, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Haven LLC?
- Evergreen Haven LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Evergreen Haven LLC located?
- Evergreen Haven LLC's practice location on file with NPPES is 445 E 10th St, Baxter Springs, KS 66713-1614.
- What is Evergreen Haven LLC's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Haven LLC is (620) 304-2108.
- Who is the authorized official for Evergreen Haven LLC?
- The authorized official listed on Evergreen Haven LLC's NPPES record is Larry Higginbotham, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Haven LLC's NPI active?
- Yes — Evergreen Haven LLC's NPI (1104616002) is active in the NPPES registry as of the last update on 2025-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.