PROMISE PRIDE ENTERPRISES INC (NPI# 1366557092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366557092 |
| Entity Type | Organization |
| Organization Name | PROMISE PRIDE ENTERPRISES INC |
| Other Organization Name | PROMISE PRIDE COMMUNITY SERVICES |
| Practice Address |
5100 Groom Road Baker LA 70714-3124 |
| Practice Telephone | 2257743385 |
| Practice Fax Number | 2257747381 |
| Mailing Telephone | 2257743385 |
| Mailing Fax Number | 2257747381 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. MARY E WHITE (PROGRAM DIRECTOR ADMINISTRATOR) |
| Authorized Official Telephone | 2257743499 |
| Authorized Official Credential | REGISTERED NURSE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
PCA 12774 | LA | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1191655 | 05 | |
| LA | WAIVER | 1468070 | 01 |
| Other Name | Type Code |
|---|---|
| Promise Pride Community Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750502720 | Promise Pride Enterprises Inc | Technician | 5100 Groom Road, Baker, LA 70714-3124 | 2007-05-01 |
| Street Address |
5100 GROOM ROAD |
| City | BAKER |
| State | LA |
| Zip Code | 70714-3124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750502720 | Promise Pride Enterprises Inc | Technician | 5100 Groom Road, Baker, LA 70714-3124 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710406574 | Chasity Davis | Counselor | 12753 Plank Rd Apt 32, Baker, LA 70714 | 2017-09-13 |
| 1417486895 | Cicella Lorine Benton | Counselor | 3327 Grant St, Baker, LA 70714 | 2017-06-08 |
| 1447782594 | I Know I Can Speech-language Therapy Services | Early Intervention Provider Agency | 7206 Juno Drive, Baker, LA 70714 | 2017-03-29 |
| 1265880488 | Evergreen Presbyterian Ministries, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3622 Groom Road, Baker, LA 70714 | 2016-05-27 |
| 1013363241 | Micon Gaines | Counselor | 4206 N. Morvant Pl., Baker, LA 70714 | 2016-05-06 |
| 1932564549 | Clifton Hunt | Case Manager/Care Coordinator | 3276 Jackson St, Baker, LA 70714 | 2015-12-24 |
| 1992174833 | A Loving Heart Medical Transportation,llc | Non-emergency Medical Transport (VAN) | 5401 Rue Nicole, Baker, LA 70714 | 2015-09-22 |
| 1174927685 | Unique Healthcare Options | Clinic/Center | 1877 Heck Young Rd, Baker, LA 70714 | 2014-10-13 |
| 1972934263 | Freds Stores of Tennessee Inc | Pharmacy | 312 Main Street Hwy 19, Baker, LA 70714 | 2013-12-11 |
| 1245665157 | Cope Behavior Health, LLC | Community Based Residential Treatment Facility, Mental Illness | 4425 Groom Road, Suite B, Baker, LA 70714 | 2013-09-10 |
| Find all providers in zip 70714 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871107599 | Melanie Anna Calixto | Technician | 33 Skyward Ln, Baker, WV 26801-8347 | 2020-09-01 |
| 1417560012 | Ashley Nicole Castell | Technician | 18 Old Baker Rd, Baker, WV 26801-8198 | 2020-08-25 |
| 1376152280 | Sylvia Coontz | Technician | 1789 State Rd 55, Apt 201, Baker, WV 26801 | 2020-07-27 |
| 1730798000 | Carolyn Milburn | Technician | 1485 Terra Alta School Rd, Baker, WV 26801-8225 | 2020-07-23 |
| 1376152652 | Michelle Wimer | Technician | 1485 Terra Alta School Rd, Baker, WV 26801-8225 | 2020-07-23 |
| 1366685620 | God's Hands Providers, LLC | Technician | 3402 Baker Blvd, Baker, LA 70714-2509 | 2009-04-15 |
| 1750502720 | Promise Pride Enterprises Inc | Technician | 5100 Groom Road, Baker, LA 70714-3124 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770180390 | Demetria Abdualynn Thomas | Technician | 199 Skipper Dr, Mandeville, LA 70471-3021 | 2020-10-06 |
| 1780281360 | Shamontae Renee Nicholas | Technician | 329 Highway 400, Napoleonville, LA 70390-8929 | 2020-10-06 |
| 1174138424 | Christy Berry | Technician | 17232 Jefferson Hwy Apt 627, Baton Rouge, LA 70817-6982 | 2020-09-14 |
| 1336752450 | Sweetpee Care Services | Technician | 11111 Ivory Ln, Keithville, LA 71047 | 2020-08-28 |
| 1649898230 | Linda Jo Henderson | Technician | 1375 1st St Ste B, Arcadia, LA 71001-3530 | 2020-07-09 |
| 1679190490 | Liaison Home Care | Technician | 1221 Martin Dr, Marrero, LA 70072-2719 | 2020-06-26 |
| 1891325858 | Dania Bates | Technician | 2168 Meadow Hill Ave, Zachary, LA 70791-7019 | 2020-01-17 |
| 1780232579 | Brittany Inez Young | Technician | 4465 Bay View Drive, Marrero, LA 70072 | 2019-08-27 |
| 1316591878 | Leronisha Murphey | Technician | 1300 Jackson Street, Alexandria, LA 71301 | 2019-08-01 |
| 1710546593 | Stroolamb, LLC | Technician | 201 Trenton Street, Suite 1, West Monroe, LA 71291 | 2019-06-06 |
| Find all providers with the same taxonomy | ||||
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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.