Promised Land Family Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC2538 Issued in NC

Legal business name

PROMISED LAND FAMILY SERVICES

Practice address

821 S Main St
Laurinburg, NC 28352-4724

Phone

(910) 276-0487

Fax

(910) 276-4123

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Gervonia Sherish Manning

Title

Owner

Phone

(910) 276-0487

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710006531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 S MAIN ST",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283524724",
            "telephone_number": "910-276-0487",
            "fax_number": "910-276-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 S MAIN ST",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283524724",
            "telephone_number": "910-276-0487",
            "fax_number": "910-276-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISED LAND FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "GERVONIA",
        "authorized_official_middle_name": "SHERISH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-276-0487",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408009",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601067",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Price
• Primary Health Choice, Inc.
• Private Diagnostic Clinic, PLLC (Scotland Cancer Treatment Center)
• Professional Providers Home Care
• Professional Providers Home Care
• Providence Healthcare Services PLLC
• Purcell Clinic, PA
• Emily Crabtree Purcell, CRNA
• Purpose Counseling Services, PLLC
• Jackie Lorraine Quick

• Home Health Agency in Laurinburg, NC
• Providers in Laurinburg, NC by specialty
• Home Health Agency in North Carolina

• 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.