Organization Active NPI

Promise Keepers Health Services, LLC

  • Nursing Care Agency
  • Detroit, MI
National Provider Identifier
1679965685
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
4703109637 Issued in MI
Legal business name
PROMISE KEEPERS HEALTH SERVICES, LLC
Practice address
18145 Cardoni St
Detroit, MI 48203-2492
Phone
(313) 909-7151
Fax
(313) 557-9779
NPI assigned
Feb 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Authorized official

Name
Denise K Madden, LPN
Title
Owner
Phone
(313) 909-7151

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X 4703109637 MI Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

18145 Cardoni St
Detroit, MI 48203-2492

Mailing address

18145 Cardoni St
Detroit, MI 48203-2492
Phone (313) 909-7151

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1679965685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18145 CARDONI ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482032492",
            "telephone_number": "313-909-7151",
            "fax_number": "313-557-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18145 CARDONI ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482032492",
            "telephone_number": "313-909-7151",
            "fax_number": "313-557-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISE KEEPERS HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-27",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "MADDEN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-909-7151",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MI",
            "license": "4703109637",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.