Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evergreen Haven LLC

Organization Assisted Living Facility · NPI 1104616002

Evergreen Haven LLC is an Assisted Living Facility in Baxter Springs, Kansas. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

445 E 10th St
Baxter Springs, KS 66713-1614
Phone: (620) 304-2108
Fax: (620) 304-2109
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1104616002
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry Higginbotham — Owner · (417) 850-3063
NPI enumeratedMay 12, 2025
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025
Mailing addressPo Box 92, Racine, MO 64858-0092

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