Organization
EVERGREEN PRESBYTERIAN MINISTRIES, INC.
Active
Other names
Carroll Street Community Home
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS RYLAND (REGIONAL VICE PRESIDENT)
(318) 949-5500
Entity
Organization
Contact information
Practice address
181 CARROLL ST, SHREVEPORT, LA 71105-4234
(318) 687-9622
Mailing address
2101 HIGHWAY 80, HAUGHTON, LA 71037-9488
(318) 949-5500
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
344
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1715948
—
LA
Enumeration date
01/08/2007
Last updated
05/27/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us