Organization Active NPI

Promise Hospital of Ascension, Inc.

  • Long Term Care Hospital
  • Baton Rouge, LA
National Provider Identifier
1730188558
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
650 Issued in LA
Legal business name
PROMISE HOSPITAL OF ASCENSION, INC.
Practice address
5130 Mancuso LN
Baton Rouge, LA 70809-3583
Phone
(225) 490-9600
Fax
(225) 490-9690
NPI assigned
Jul 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 650 LA Primary

Addresses

Primary practice location

5130 Mancuso LN
Baton Rouge, LA 70809-3583

Mailing address

999 Yamato Road
3Rd Floor
Boca Raton, FL 33431
Phone (561) 869-3100

Other identifiers 3

IdentifierTypeStateIssuer
1748285MedicaidLA
1754439OtherLAMEDICAID PROF
5D167OtherLAMEDICARE PROF

National Provider Directory

National Provider Directory

Locations

615 E Worthy St
Gonzales, LA 70737
Phone (225) 621-1200

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523404800000",
    "number": "1730188558",
    "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": "5130 MANCUSO LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093583",
            "telephone_number": "225-490-9600",
            "fax_number": "225-490-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISE HOSPITAL OF ASCENSION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2018-04-11",
        "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": "650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1748285",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PROF",
            "identifier": "1754439",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROF",
            "identifier": "5D167",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.

Verify at the official NPI Registry.