Promise Integrated Care LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

PROMISE INTEGRATED CARE LLC

Practice address

92 Walker St
Manchester, NH 03102-4565

Phone

(603) 832-8967

NPI assigned

Mar 27, 2023

Organization subpart

No

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

Authorized official

Name

Katheryn French

Title

Program Manager

Phone

(603) 832-8967

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1174227136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 AUBURN ST APT 2",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031035309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 WALKER ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031024565",
            "telephone_number": "603-832-8967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISE INTEGRATED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "FRENCH",
        "authorized_official_first_name": "KATHERYN",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "603-832-8967"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Prince, BS
• Monique Marie Colleen Prince, MSW, LICSW
• Lauren Marie Priolo, M.D.
• Procare Home Health & Senior Services LLC
• Annmarie Nancy Proksa, PTA
• Bonnie Proulx, APRN
• Crystal Ann Proulx, MSRD, LD, CNSD
• Norman Henry Proulx, D.D.S.
• Danielle Ann Provencal
• Jeremy M Provencher, PA-C

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Manchester, NH
• Providers in Manchester, NH by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.