Promise Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROMISE HOME CARE, LLC

Practice address

4210 N Frontage Rd Ste 30
Fayetteville, AR 72703-5001

Phone

(479) 316-6606

NPI assigned

Apr 20, 2021

Last updated

Apr 20, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

PROMISE HOME CARE, LLCAs reported in NPPES

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

Authorized official

Name

Max Hester

Title

Owner / Managing Member

Phone

(479) 445-8519

Specialties & licenses 1

Addresses

Part of

Promise Home Care LLC

Locations

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1104407105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 N FRONTAGE RD STE 30",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035001",
            "telephone_number": "479-316-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 N FRONTAGE RD STE 30",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035001",
            "telephone_number": "479-316-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISE HOME CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROMISE HOME CARE, LLC",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "HESTER",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "OWNER / MANAGING MEMBER",
        "authorized_official_telephone_number": "479-445-8519"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Price, MSW, LCSW
• Sarah E Pennington Primm, M.S., CCC-SLP, CALT
• Prism Education Center
• Bobby R Pritchett, DC, CCSP
• David Riley Proffitt
• Paul Edward Provaznik, M.D.
• Joyce Marie Prowell, LCSW
• Jeffery Prude
• Blake Pschier
• Linda Belle Pullen, MMT

• Home Health Agency in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Home Health Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.