PROMISSA PERSONALIZED CARE SERVICES LLC (NPI# 1154943603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154943603 |
Entity Type | Organization |
Organization Name | PROMISSA PERSONALIZED CARE SERVICES LLC |
Practice Address |
200 E Edgewood Blvd Lansing MI 48911 |
Practice Telephone | 5173937777 |
Practice Fax Number | 5173936920 |
Mailing Telephone | 5173937777 |
Mailing Fax Number | 5173936920 |
Enumeration Date | 2020-05-07 |
Last Update Date | 2020-05-07 |
Authorized Official Name | MRS. YOLANDA POPE (SENIOR MANAGING PARTNER) |
Authorized Official Telephone | 5173937777 |
Authorized Official Credential | LPN |
Is Organization Subpart | Y |
Parent Organization Name | PROMISSA PERSONALIZED CARE SERVICES LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
Street Address |
200 E EDGEWOOD BLVD |
City | LANSING |
State | MI |
Zip Code | 48911 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457911877 | Zachary Todd Goldstein | Pediatrics | Cedar Pediatrics 5303 S. Cedar St, Suite 205, Lansing, MI 48911 | 2019-06-18 |
1447713946 | Fadi Nuseibeh | Pharmacist | 3955 Patient Care Drive, Pharmacy, Lansing, MI 48911 | 2019-04-11 |
1740704543 | Kyle Lardie | Dental Hygienist | Care Free Medical and Dental 5135 S Pennsylvania Ave, Lansing, MI 48911 | 2017-08-02 |
1124549845 | Joash Michael Charles | Behavior Technician | 3720 Richmond Street, Lansing, MI 48911 | 2017-07-03 |
1205212164 | Benjamin Curtis Neal | Dentist | 5601 S Cedar St., Lansing, MI 48911 | 2015-08-03 |
1376927608 | Heather Lamb | Home Health | 2919 Risdale St, Lansing, MI 48911 | 2015-07-16 |
1669861712 | Lucas James Evan Joseph Bila | Licensed Practical Nurse | 2204 S. Wadsworth Dr, Lansing, MI 48911 | 2015-01-13 |
1649695271 | Aaron James Hart | Occupational Therapist | 3960 Patient Care Dr Ste 117, Lansing, MI 48911 | 2014-02-18 |
1831465871 | Los Equipment Corporation | Dentist | 6810 S. Cedar St, Suite 5, Lansing, MI 48911 | 2012-03-23 |
1629214457 | Benjamin Roy Hinchcliff | Physical Therapist | 134 East Edgewood Blvd, Lansing, MI 48911 | 2008-12-29 |
Find all providers in zip 48911 |
Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740781780 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 7323 Delta Commerce Dr, Lansing, MI 48917-1069 | 2018-02-26 |
1376978106 | St. Anthony Slf, LLC | Assisted Living Facility | 3025 Spring Lake Dr, Lansing, IL 60438-4400 | 2013-09-11 |
1881921575 | Grandhaven Living Center | Assisted Living Facility | 3145 W Mount Hope Ave, Lansing, MI 48911-1665 | 2009-11-17 |
1770643462 | Twin Oaks Assisted Living Operations, LLC | Assisted Living Facility | 657 W Eisenhower Rd, Lansing, KS 66043-2204 | 2006-12-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518567890 | Mcap Holt Opco LLC | Assisted Living Facility | 4300 Keller Rd, Holt, MI 48842-1268 | 2020-10-27 |
1457959363 | Baruch Sls, Inc. | Assisted Living Facility | 3191 M 65, Hale, MI 48739-8512 | 2020-10-13 |
1215544739 | Baruch Sls, Inc. | Assisted Living Facility | 3100 Wyndham Dr, Flushing, MI 48433-2290 | 2020-09-29 |
1730796558 | Baruch Sls, Inc. | Assisted Living Facility | 130 Mary Ann St, Grayling, MI 49738-7037 | 2020-09-25 |
1649887472 | Baruch Sls, Inc. | Assisted Living Facility | 300 S Grand Ave, Leland, MI 49654-5052 | 2020-09-25 |
1013524834 | Baruch Sls, Inc. | Assisted Living Facility | 2801 Charlevoix Rd, Petoskey, MI 49770-9727 | 2020-09-25 |
1346857174 | Baruch Sls, Inc. | Assisted Living Facility | 1311 Southwestern Dr, Tecumseh, MI 49286-1233 | 2020-09-25 |
1427665439 | Baruch Sls, Inc. | Assisted Living Facility | 301 N Quick St, Blissfield, MI 49228-1051 | 2020-09-24 |
1295341956 | Comfort Home of Bloomfield Inc | Assisted Living Facility | 6372 Tutbury Ln, Troy, MI 48098-2151 | 2020-09-18 |
1306451679 | Traditions At Rivertown Park, LLC | Assisted Living Facility | 3555 Copper River Ave Sw, Wyoming, MI 49418-9791 | 2020-09-13 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.