Promissa Personalized Care Services LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PROMISSA PERSONALIZED CARE SERVICES LLC

Practice address

200 E Edgewood Blvd
Lansing, MI 48911

Phone

(517) 393-7777

Fax

(517) 393-6920

NPI assigned

May 7, 2020

Last updated

May 7, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

PROMISSA PERSONALIZED CARE SERVICES LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Yolanda Pope, LPN

Title

Senior Managing Partner

Phone

(517) 393-7777

Specialties & licenses 1

Addresses

Part of

Promissa Personalized Care Services LLC

Locations

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1154943603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E EDGEWOOD BLVD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48911",
            "telephone_number": "517-393-7777",
            "fax_number": "517-393-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E EDGEWOOD BLVD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48911",
            "telephone_number": "517-393-7777",
            "fax_number": "517-393-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISSA PERSONALIZED CARE SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROMISSA PERSONALIZED CARE SERVICES LLC",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "SENIOR MANAGING PARTNER",
        "authorized_official_telephone_number": "517-393-7777",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Lansing, MI
• Providers in Lansing, MI by specialty
• Assisted Living Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.