Promise Pride Enterprises Inc

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

PCA 12774 Issued in LA

Legal business name

PROMISE PRIDE ENTERPRISES INC

Doing business as

Promise Pride Community Services

Practice address

5100 Groom Road
Baker, LA 70714-3124

Phone

(225) 774-3385

Fax

(225) 774-7381

NPI assigned

Aug 21, 2006

Organization subpart

No

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) 774-3499

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Promise Pride Community Services Doing business as

Tax ID family

Promise Pride Enterprises 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.

• Promise Pride Enterprises Inc

  dba Promise Pride Community Services

  • Personal Care Attendant
  • Baker, LA
  • NPI 1750502720
  NPD tax ID
• Promise Pride Enterprises, Inc.

  dba Promise Pride Adult Day Healthcare Center

  • Adult Day Care Clinic/Center
  • Baker, LA
  • NPI 1316129828
  NPD tax ID

Locations

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366557092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 GROOM ROAD",
            "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 ROAD",
            "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": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "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": "225-774-3499",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "LA",
            "license": "PCA 12774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1191655",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WAIVER",
            "identifier": "1468070",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Promise Pride Community Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine Ann Pourciau, NP
• Alice Catherine Powell, P. A.
• Premier Wellness Associates, LLC
• Prewitt Chiropractic Clinic a Professional Chiropractic Corporation
• Rickey Lynn Prewitt, D.C.
• Promise Pride Enterprises Inc (Promise Pride Community Services)
• Promise Pride Enterprises, Inc. (Promise Pride Adult Day Healthcare Center)
• Provisions Care and Residential Services, LLC
• Tony Pryer
• Clinton Pullen III

• Personal Care Attendant in Baker, LA
• Providers in Baker, LA by specialty
• Personal Care Attendant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.