KPC PROMISE HOSPITAL OF LOUISIANA LLC (NPI# 1386292134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386292134 |
| Entity Type | Organization |
| Organization Name | KPC PROMISE HOSPITAL OF LOUISIANA LLC |
| Practice Address |
1800 Irving Pl Shreveport LA 71101-4608 |
| Mailing Address |
9 Kpc Pkwy Ste 301 Corona CA 92879-7102 |
| Practice Telephone | 3189340481 |
| Mailing Telephone | 9519878100 |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |
| Authorized Official Name | WILLIAM THOMAS (SECRETARY) |
| Authorized Official Telephone | 9519878100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | Hospitals |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2525 Viking Dr, Bossier City, LA 711112103 | 3189340481 |
| Street Address |
1800 IRVING PL |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-4608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376511493 | Promise Hospital of Louisiana, Inc | Long Term Care Hospital | 1800 Irving Pl, Shreveport, LA 71101-4608 | 2006-03-14 |
| 1215560578 | Benjamin Potter | Nurse Practitioner | 1800 Irving Pl, Shreveport, LA 71101-4608 | 2020-02-14 |
| 1508358110 | Rickman Critical Care LLC | Internal Medicine | 1800 Irving Pl, Shreveport, LA 71101-4608 | 2018-05-31 |
| 1629504220 | Imperial Medicine LLC | Internal Medicine | 1800 Irving Pl, Shreveport, LA 71101-4608 | 2017-05-03 |
| 1225579402 | B&l Medical Services LLC | Internal Medicine | 1800 Irving Pl, Shreveport, LA 71101-4608 | 2017-03-20 |
| 1982145157 | Bankai Physicians LLC | Internal Medicine | 1800 Irving Pl, Shreveport, LA 71101-4608 | 2017-03-20 |
| 1598205551 | Anand M Desai Md LLC | Internal Medicine | 1800 Irving Pl, Shreveport, LA 71101-4608 | 2017-02-24 |
| 1063963189 | Basel Kasabali Md Apmc | Internal Medicine | 1800 Irving Pl, Shreveport, LA 71101-4608 | 2016-10-24 |
| 1669864773 | Janice Hollier, LLC | Specialist | 1800 Irving Pl, Shreveport, LA 71101-4608 | 2015-02-26 |
| 1265749436 | Melissa Ann Tingler Frick | Pharmacist | 1800 Irving Pl, Shreveport, LA 71101-4608 | 2010-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528622065 | Intensive Specialty Hospital, LLC | Long Term Care Hospital | 1800 Irving Pl Ste 100, Shreveport, LA 71101-4608 | 2019-04-30 |
| 1790819480 | The Arc of Caddo Bossier | Long Term Care Hospital | 351 Jordan St, Shreveport, LA 71101-4846 | 2007-03-15 |
| 1619906765 | Lifecare Hospitals, Inc | Long Term Care Hospital | 9320 Linwood Ave, Shreveport, LA 71106-7003 | 2006-07-01 |
| 1376511493 | Promise Hospital of Louisiana, Inc | Long Term Care Hospital | 1800 Irving Pl, Shreveport, LA 71101-4608 | 2006-03-14 |
| 1942857784 | Pam Specialty Hospital of Shreveport LLC | Long Term Care Hospital | 8001 Youree Dr, Shreveport, LA 71115-2302 | 2019-08-26 |
| 1982164968 | Allegiance Health Management | Long Term Care Hospital | 504 Texas St Ste 200, Shreveport, LA 71101-3526 | 2019-03-25 |
| 1760725964 | New Lifecare Hospitals LLC | Long Term Care Hospital | 9320 Linwood Ave, Shreveport, LA 71106-7003 | 2013-04-05 |
| 1750405122 | The Arc of Caddo Bossier | Long Term Care Hospital | 351 Jordan St, Shreveport, LA 71101-4846 | 2007-03-19 |
| 1669596037 | The Arc of Caddo Bossier | Long Term Care Hospital | 351 Jordan St, Shreveport, LA 71101-4846 | 2007-03-19 |
| 1871627059 | The Arc of Caddo Bossier | Long Term Care Hospital | 351 Jordan St, Shreveport, LA 71101-4846 | 2007-03-16 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
Please comment or provide details below to improve the information on KPC PROMISE HOSPITAL OF LOUISIANA LLC.
| 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.