Active NPI
Promise Hospital of Louisiana, Inc
- Long Term Care Hospital
- Shreveport, LA
National Provider Identifier
1376511493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Hospital
- License
- 516
- Legal business name
- PROMISE HOSPITAL OF LOUISIANA, INC
- Practice address
- 1800 Irving PL
Shreveport, LA 71101-4608 - Phone
- (318) 425-4096
- Fax
- (318) 425-8483
- NPI assigned
- Mar 14, 2006
- Last updated
- Apr 10, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Hopwood
- Title
- Cfo
- Phone
- (561) 869-3100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | 516 | LA | Primary |
Addresses
Primary practice location
1800 Irving PL
Shreveport, LA 71101-4608
Mailing address
999 Yamato Road
3Rd Floor
Boca Raton, FL 33431
Phone (561) 869-3100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61093 | Other | LA | BLUE CROSS PROVIDER NUMBE |
| 60067 | Other | LA | BLUE CROSS PSYCH PROV. # |
| 1760935 | Medicaid | LA | |
| 60068 | Other | LA | BLUE CROSS REHAB PROV. # |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523318400000",
"number": "1376511493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 YAMATO ROAD",
"address_2": "3RD FLOOR",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "33431",
"telephone_number": "561-869-3100",
"fax_number": "561-826-0171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 IRVING PL",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014608",
"telephone_number": "318-425-4096",
"fax_number": "318-425-8483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROMISE HOSPITAL OF LOUISIANA, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-14",
"last_updated": "2018-04-10",
"status": "A",
"authorized_official_last_name": "HOPWOOD",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "561-869-3100",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "282E00000X",
"taxonomy_group": "",
"desc": "Long Term Care Hospital",
"state": "LA",
"license": "516",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER NUMBE",
"identifier": "61093",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PSYCH PROV. #",
"identifier": "60067",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1760935",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS REHAB PROV. #",
"identifier": "60068",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
- Lanita Proctor
- Professional Sitter Services
- Progressive Childrens Clinic LLC
- Promas LLC
- Promise Behavioral Health Hospital of Shreveport, Inc.
- Promoting Livelihood and Ability in Youth Physical Therapy LLC (P L a Y Physical Therapy LLC)
- Promyse-Prosthetic Orthotic Group (Certified Limb and Brace)
- Proprium Solutions LLC
- Kaitlin Prosinski, MOT, OTR/L
- John M Provenza, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.