Organization Active NPI

Promised Care LLC

  • Home Health Agency
  • Winthrop, MA
National Provider Identifier
1194220368
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PROMISED CARE LLC
Practice address
80 Somerset Ave Ste 2
Winthrop, MA 02152-2943
Phone
(978) 227-8807
Fax
(978) 400-7492
NPI assigned
Mar 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Authorized official

Name
Mrs. Rachael Etta Agbor-Baxter
Title
President
Phone
(978) 227-8807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

80 Somerset Ave Ste 2
Winthrop, MA 02152-2943

Mailing address

80 Somerset Ave Ste 2
Winthrop, MA 02152-2943
Phone (978) 227-8807

Other identifiers 1

IdentifierTypeStateIssuer
99999OtherMAJAMMING

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1194220368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SOMERSET AVE STE 2",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021522943",
            "telephone_number": "978-227-8807",
            "fax_number": "978-400-7492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SOMERSET AVE STE 2",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021522943",
            "telephone_number": "978-227-8807",
            "fax_number": "978-400-7492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-03-28",
        "status": "A",
        "authorized_official_last_name": "AGBOR-BAXTER",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_middle_name": "ETTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-227-8807",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JAMMING",
            "identifier": "99999",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winthrop, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; 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.