OrganizationActive
Evergreen Presbyterian Ministries, Inc.
NPI 1194879569 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Pineville, LA
Provider details
- NPI number
- 1194879569
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- John Taylor, President(318) 949-5500
- License
- SIL 2447 (LA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense SIL 2447 (LA)
Residential Treatment Facilities
Practice location
920 Main St
Pineville, LA 71360-6408
Phone: (318) 445-4470
Approximate (ZIP-level) locationGet directions
Mailing address
2101 Highway 80
Haughton, LA 71037-9488
Other names (DBA / former)
- Doing business as
- Evergreen Supported Living Program-Cla
Registry dates
- Enumerated
- 2007-01-23
- Last updated
- 2008-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.