Organization Active NPI

Promising Futures Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Lakeside, CA
National Provider Identifier
1114124849
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
LTC60679F Issued in CA
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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)CodeLicenseStatePrimary
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.

  • CCN 05G905 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

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 Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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

Verify at the official NPI Registry.