Promiseland Home Care Agency LLC

Primary specialty

HomemakerTaxonomy code 376J00000X

Legal business name

PROMISELAND HOME CARE AGENCY LLC

Practice address

1606 E Broad Ave
Albany, GA 31705-2310

Phone

(229) 403-6977

NPI assigned

Jul 5, 2024

Last updated

Jul 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly L WarrenNPI 1174369409

Title

Owner

Phone

(229) 403-6977

Specialties & licenses 1

Addresses

Other names 1

• PromiseLand HOME CARE AGENCY LLC Other name

Locations

Practitioners 1

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.

• Kimberly L Warren, OWNER

  • Homemaker
  • Albany, GA
  • NPI 1174369409
  NPD Authorized official

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

{
    "created_epoch": "1720137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720137600000",
    "number": "1972349207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4804 IMPALA LN",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317056113",
            "telephone_number": "229-403-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 E BROAD AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317052310",
            "telephone_number": "229-403-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISELAND HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-05",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-403-6977"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PromiseLand HOME CARE AGENCY LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Homemaker in Albany, GA
• Providers in Albany, GA by specialty
• Homemaker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.