Active NPI
Promise Care Center, LLC
- Assisted Living Facility
- Nixa, MO
National Provider Identifier
1831742048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- PROMISE CARE CENTER, LLC
- Practice address
- 1111 Care Ave
Nixa, MO 65714-9679 - Phone
- (417) 494-5037
- Fax
- (417) 494-5037
- NPI assigned
- Jul 17, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshua Williams
- Title
- Owner
- Phone
- (417) 494-5037
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
1111 Care Ave
Nixa, MO 65714-9679
Mailing address
135 El Rancho Dr
Hannibal, MO 63401-6519
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drwilliams@reliantcaremgmt.com | ||
| Direct Messaging Address | dwilliams@hrwcompanies.com |
National Provider Directory
National Provider Directory- Tax ID family
- Promise Care Center LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Nixa, MO
- NPI 1114725678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605571200000",
"number": "1831742048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 EL RANCHO DR",
"city": "HANNIBAL",
"state": "MO",
"postal_code": "634016519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 CARE AVE",
"city": "NIXA",
"state": "MO",
"postal_code": "657149679",
"telephone_number": "417-494-5037",
"fax_number": "417-494-5037"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROMISE CARE CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-17",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "417-494-5037"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "drwilliams@reliantcaremgmt.com",
"affiliation": "N",
"address_1": "1111 Care Ave",
"city": "Nixa",
"state": "MO",
"country_code": "US",
"postal_code": "657149679",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dwilliams@hrwcompanies.com",
"affiliation": "N",
"address_1": "1111 Care Ave",
"city": "Nixa",
"state": "MO",
"country_code": "US",
"postal_code": "657149679",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Nixa, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.