Organization Active NPI

Promise Comfort Care LLC

Doing business as Chosen Angels Family Care

  • Home Health Agency
  • Mechanicsburg, PA
National Provider Identifier
1639877095
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PROMISE COMFORT CARE LLC
Doing business as
Chosen Angels Family Care
Practice address
829 Admirals Quay Dr
Mechanicsburg, PA 17050-2766
Phone
(267) 918-0799
Fax
(717) 791-2494
NPI assigned
Feb 15, 2023
Last updated
Aug 16, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
PROMISE COMFORT CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Ms. Fatu Kofa KamaraNPI 1215792676
Title
Ceo
Phone
(267) 918-0799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

829 Admirals Quay Dr
Mechanicsburg, PA 17050-2766

Mailing address

829 Admirals Quay Dr
Mechanicsburg, PA 17050-2766
Phone (267) 918-0799

Other identifiers 1

IdentifierTypeStateIssuer
70483601MedicaidPA

Other names 1

  • CHOSEN ANGELS FAMILY CARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Promise Comfort Care LLC3 organizations share this tax ID, including this one
Part of
Promise Comfort Care LLC

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1639877095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 ADMIRALS QUAY DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170502766",
            "telephone_number": "267-918-0799",
            "fax_number": "717-791-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 ADMIRALS QUAY DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170502766",
            "telephone_number": "267-918-0799",
            "fax_number": "717-791-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISE COMFORT CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROMISE COMFORT CARE LLC",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "KAMARA",
        "authorized_official_first_name": "FATU",
        "authorized_official_middle_name": "KOFA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-918-0799",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70483601",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHOSEN ANGELS FAMILY CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHOSEN ANGELS FAMILY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.