Evergreen Presbyterian Ministries, Inc.
NPI 1104965409 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Bossier City, LA
Evergreen Presbyterian Ministries, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Bossier City, LA (NPI 1104965409).
Provider details
- NPI number
- 1104965409
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Douglas Ryland, Regional Vice President(318) 949-5500
- License
- SIL 4606 (LA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense SIL 4606 (LA)
Residential Treatment 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
- Nwla Supported Living Program
Registry dates
- Enumerated
- 2007-02-05
- Last updated
- 2025-05-27
- Certified
- 2025-05-27
Frequently asked questions
- What is Evergreen Presbyterian Ministries, Inc.'s NPI number?
- Evergreen Presbyterian Ministries, Inc.'s National Provider Identifier (NPI) is 1104965409, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Presbyterian Ministries, Inc.?
- Evergreen Presbyterian Ministries, Inc. is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Evergreen Presbyterian Ministries, Inc. located?
- Evergreen Presbyterian Ministries, Inc.'s practice location on file with NPPES is 3907 Shed Rd, Bossier City, LA 71111-5214.
- What is Evergreen Presbyterian Ministries, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Evergreen Presbyterian Ministries, Inc. is (318) 747-9855.
- Who is the authorized official for Evergreen Presbyterian Ministries, Inc.?
- The authorized official listed on Evergreen Presbyterian Ministries, Inc.'s NPPES record is Douglas Ryland, Regional Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Presbyterian Ministries, Inc.'s NPI active?
- Yes — Evergreen Presbyterian Ministries, Inc.'s NPI (1104965409) is active in the NPPES registry as of the last update on 2025-05-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.