Promise Pride Enterprises, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

ADHC 5039 Issued in LA

Legal business name

PROMISE PRIDE ENTERPRISES, INC.

Doing business as

Promise Pride Adult Day Healthcare Center

Practice address

5100 Groom Rd
Baker, LA 70714-3124

Phone

(225) 774-3385

Fax

(225) 774-7381

NPI assigned

Nov 27, 2007

Organization subpart

Yes

Parent organization

PROMISE PRIDE ENTERPRISES, INC.As reported in NPPES

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

Authorized official

Name

Mrs. Mary E. White, REGISTERED NURSE

Title

Program Director/Administrator

Phone

(225) 774-3385

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Promise Pride Adult Day Healthcare Center Doing business as

Tax ID family

Promise Pride Enterprises Inc3 organizations share this tax ID, including this one

Part of

Promise Pride Enterprises Inc

Other organizations with this tax ID 2

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

• Promise Pride Enterprises Inc

  • Personal Care Attendant
  • Baker, LA
  • NPI 1366557092
  NPD tax ID
• Promise Pride Enterprises Inc

  • Personal Care Attendant
  • Baker, LA
  • NPI 1750502720
  NPD tax ID

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1316129828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 GROOM RD",
            "city": "BAKER",
            "state": "LA",
            "postal_code": "707143124",
            "telephone_number": "225-774-3385",
            "fax_number": "225-774-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 GROOM RD",
            "city": "BAKER",
            "state": "LA",
            "postal_code": "707143124",
            "telephone_number": "225-774-3385",
            "fax_number": "225-774-7381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISE PRIDE ENTERPRISES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROMISE PRIDE ENTERPRISES, INC.",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR/ADMINISTRATOR",
        "authorized_official_telephone_number": "225-774-3385",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "LA",
            "license": "ADHC 5039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1191655",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "(WAIVER)",
            "identifier": "1468070",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Promise Pride Adult Day Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Day Care Clinic/Center in Baker, LA
• Providers in Baker, LA by specialty
• Adult Day Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.