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Organization Active NPI

Louise'S Promise LLC

  • PACE Provider Organization
  • Vestavia, AL
National Provider Identifier
1912377425
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
License
15019719 Issued in AL
Legal business name
LOUISE'S PROMISE LLC
Practice address
4240 Cahaba Dr
Vestavia, AL 35243-1600
Phone
(205) 441-3106
NPI assigned
Sep 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Authorized official

Name
Miss Carol Rae Shinnette
Title
Executive Director
Phone
(205) 441-3106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X 15019719 AL Primary

Addresses

Primary practice location

4240 Cahaba Dr
Vestavia, AL 35243-1600

Mailing address

4240 Cahaba Dr
Vestavia, AL 35243-1600
Phone (205) 441-3106

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1912377425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 CAHABA DR",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352431600",
            "telephone_number": "205-441-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 CAHABA DR",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352431600",
            "telephone_number": "205-441-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISE'S PROMISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-28",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "SHINNETTE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "205-441-3106",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "AL",
            "license": "15019719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.