Active NPI
Promising Futures Inc.
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Lakeside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- LTC60679F
- Legal business name
- PROMISING FUTURES INC.
- Practice address
- 12960 Ha Hana Rd
Lakeside, CA 92040-5004 - Phone
- (619) 390-4634
- NPI assigned
- Jun 27, 2007
- Last updated
- Feb 7, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Martha J Morrissey
- Title
- Executive Director
- Phone
- (619) 390-4277
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | LTC60679F | CA | Primary |
Addresses
Primary practice location
12960 Ha Hana Rd
Lakeside, CA 92040-5004
Mailing address
12960 Ha Hana Rd
Lakeside, CA 92040-5004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1114124849. Details of each certification follow.
Intermediate care facility for individuals with intellectual disabilities certification: CCN 05G905
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- PROMISING FUTURES, INC - HILLSIDE
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Oct 11, 1995
- Last certification
- Jan 7, 2025
- Beds
- 6
- Ownership / control type
- Private (non-profit)
- Facility address
- 12960 Ha Hana Road
Lakeside, CA 92040
National Provider Directory
National Provider Directory- Tax ID family
- Promising Futures Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Ramona, CA
- NPI 1053518779
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- El Cajon, CA
- NPI 1336368984
Locations
12960 Ha Hana Rd
Lakeside, CA 92040
Phone (619) 390-4634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202342400000",
"number": "1114124849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12960 HA HANA RD",
"city": "LAKESIDE",
"state": "CA",
"postal_code": "920405004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12960 HA HANA RD",
"city": "LAKESIDE",
"state": "CA",
"postal_code": "920405004",
"telephone_number": "619-390-4634"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROMISING FUTURES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-27",
"last_updated": "2008-02-07",
"status": "A",
"authorized_official_last_name": "MORRISSEY",
"authorized_official_first_name": "MARTHA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "619-390-4277"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "CA",
"license": "LTC60679F",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.