NPIMap

Organization Active NPI

Promise Healthcare NFP

Doing business as Promise Healthcare - Ready School

  • Federally Qualified Health Center (FQHC)
  • Champaign, IL
National Provider Identifier
1801687728
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PROMISE HEALTHCARE NFP
Doing business as
Promise Healthcare - Ready School
Practice address
45 E University Ave
Champaign, IL 61820-4076
Phone
(217) 356-1558
NPI assigned
May 13, 2025
Last updated
Dec 23, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PROMISE HEALTHCARE NFPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Authorized official

Name
Jennifer Henry
Title
Ceo
Phone
(217) 403-5401

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Primary Care Clinic/Center 261QP2300X NU

Addresses

Primary practice location

45 E University Ave
Champaign, IL 61820-4076

Mailing address

819 Bloomington Rd
Champaign, IL 61820-2101
Phone (217) 356-1558

Other names 1

  • Promise Healthcare - Ready School Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130219000476 IL Part B Supplier - Clinic/Group Practice 6103071345 Receives reassigned benefits from 54 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Urbana, IL; Rantoul, IL; Champaign, IL
O20251224002089 IL Part A Provider - Federally Qualified Health Center (FQHC) 6103071345 Practice locations: Champaign, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801687728. Details of each certification follow.

Federally qualified health center certification: CCN C41057

Legal name
PROMISE HEALTHCARE NFP
Doing business as
PROMISE HEALTHCARE - READY SCHOOL
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 13, 2025
Last certification
Nov 13, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
45 E University Ave
Champaign, IL 61820-4076

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Promise Healthcare NFP10 organizations share this tax ID, including this one
Part of
Promise Healthcare NFP

Other organizations with this tax ID 9

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

Locations

45 E University Ave
Champaign, IL 61820
Phone (217) 356-1558

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Brice Hutchcraft Individual Corporate DirectorDirector/Officer Oct 20, 2015
Kandace Turner Individual Corporate DirectorDirector/Officer Sep 25, 2018
Minnie Pearson Individual Corporate DirectorDirector/Officer Aug 14, 2012
Keith Flores Individual Corporate OfficerCfo Jan 15, 2024
Scott Greenlee Individual Corporate Director Sep 25, 2018
Claudia Lennoff Individual Corporate DirectorDirector/Officer Aug 14, 2012
Robert Lewis Individual Corporate DirectorDirector/Officer Sep 22, 2020
Paulette Colemon-Peeples Individual Corporate Director Sep 22, 2020
Pamela Bigler Individual Corporate Director May 22, 2018
Joseph Guyette Individual Corporate DirectorDirector/Officer Sep 27, 2016
April Arrasmith Individual W-2 Managing Employee Nov 1, 2012
Jennifer Henry Individual Corporate DirectorExecutive Director Jun 30, 2021

Practitioners & affiliated clinicians

Practitioners 56

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.

View all 56

NPI Registry JSON

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1801687728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 BLOOMINGTON RD",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618202101",
            "telephone_number": "217-356-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 E UNIVERSITY AVE",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618204076",
            "telephone_number": "217-356-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISE HEALTHCARE NFP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROMISE HEALTHCARE NFP",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-403-5401"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Promise Healthcare - Ready School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Champaign, IL

Sources for this page

Verify at the official NPI Registry.