The Promise Fostercare Agency

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

THE PROMISE FOSTERCARE AGENCY

Practice address

6008 Fly Fisher St
Las Vegas, NV 89113-1728

Phone

(702) 655-5332

NPI assigned

Mar 7, 2008

Last updated

Mar 7, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vernassa Williams

Title

Manager

Phone

(702) 655-5332

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1023288875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6008 FLY FISHER ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891131728",
            "telephone_number": "702-655-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6008 FLY FISHER ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891131728",
            "telephone_number": "702-655-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PROMISE FOSTERCARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "VERNASSA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-655-5332"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• PACE Provider Organization in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• PACE Provider Organization in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.