Evergreen Presbyterian Ministries, INC.
Intermediate Care Facility, Intellectual Disabilities in Alexandria, LA. Organization (NPI-2).
Details
- NPI
- 1023162575
- Entity type
- Organization (NPI-2)
- Legal business name
- Evergreen Presbyterian Ministries, INC.
- Organization subpart
- No
- Enumeration date
- Jan 22, 2007
- Certification date
- Nov 6, 2026
- Last updated
- Nov 6, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | 724 | LA | Yes |
Other names
- Bouef Trace Community Home (Doing Business As)
Practice location
6465 Bouef TrceAlexandria, LA 71301-2308
Phone 318-487-0271
Mailing address
2101 Highway 80Haughton, LA 71037-9488
Phone 318-949-5500
Authorized official
Douglas L Ryland
Regional Vp
3189495500
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 37 Intellectual Disabilities Intermediate Care Facility providers in Alexandria · All 3,293 providers in Alexandria
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