THE PROMISE FOSTERCARE AGENCY


Address: 6008 Fly Fisher St, Las Vegas, NV 89113-1728
Phone: 7026555332

THE PROMISE FOSTERCARE AGENCY (NPI# 1023288875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023288875
Entity Type Organization
Organization Name THE PROMISE FOSTERCARE AGENCY
Practice Address 6008 Fly Fisher St
Las Vegas
NV 89113-1728
Practice Telephone 7026555332
Mailing Telephone 7026555332
Enumeration Date 2008-03-07
Last Update Date 2008-03-07
Authorized Official Name VERNASSA WILLIAMS (MANAGER)
Authorized Official Telephone 7026555332
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251T00000X PACE Provider Organization NV Agencies

Office Location

Street Address 6008 FLY FISHER ST
City LAS VEGAS
State NV
Zip Code 89113-1728

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Taxonomy Information

Taxonomy Code 251T00000X
Grouping Agencies
Classification PACE Provider Organization

Taxonomy Definition

A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
Notes: Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093289928 State of Nv Aging & Disability Sevices Division- Fe Waiver PACE Provider Organization 3416 Goni Rd Bldg D, Carson City, NV 89706-8008 2019-01-14
1265808190 Elsube LLC PACE Provider Organization 4132 Solar System St., Nort Las Vegas, NV 89032-0753 2015-08-14

Competitor

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City LAS VEGAS
Zip Code 89113

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Dataset Information

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.

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