Promise Behavioral Health Hospital of Shreveport, Inc.

Primary specialty

Special HospitalTaxonomy code 284300000X

Legal business name

PROMISE BEHAVIORAL HEALTH HOSPITAL OF SHREVEPORT, INC.

Practice address

1800 Irving PL FL 3
Shreveport, LA 71101-4608

Phone

(318) 425-4096

Fax

(318) 424-2627

NPI assigned

Nov 19, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Maggie McWilliams, RNNPI 1336977438

Title

Regulatory Specialist

Phone

(225) 281-3076

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maggie McWilliams, RN

  • Addiction (Substance Use Disorder) Registered Nurse
  • Baton Rouge, LA
  • NPI 1336977438
  NPD Authorized official

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

{
    "created_epoch": "1511049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511049600000",
    "number": "1962916544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 AMIENS DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708104605",
            "telephone_number": "225-281-3076",
            "fax_number": "225-310-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 IRVING PL FL 3",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014608",
            "telephone_number": "318-425-4096",
            "fax_number": "318-424-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISE BEHAVIORAL HEALTH HOSPITAL OF SHREVEPORT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-19",
        "last_updated": "2017-11-19",
        "status": "A",
        "authorized_official_last_name": "MCWILLIAMS",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_title_or_position": "REGULATORY SPECIALIST",
        "authorized_official_telephone_number": "225-281-3076",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlie Proctor
• Lanita Proctor
• Professional Sitter Services
• Progressive Childrens Clinic LLC
• Promas LLC
• Promise Hospital of Louisiana, Inc
• Promoting Livelihood and Ability in Youth Physical Therapy LLC (P L a Y Physical Therapy LLC)
• Promyse-Prosthetic Orthotic Group (Certified Limb and Brace)
• Proprium Solutions LLC
• Kaitlin Prosinski, MOT, OTR/L

• Special Hospital in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Special Hospital in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2017; 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.