Provider Demographics
NPI:1083426738
Name:PROMISING HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:PROMISING HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PRECIOUS
Authorized Official - Middle Name:
Authorized Official - Last Name:BLACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-437-1164
Mailing Address - Street 1:1360 S 5TH ST OFC 336B
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63301-2486
Mailing Address - Country:US
Mailing Address - Phone:636-757-3366
Mailing Address - Fax:
Practice Address - Street 1:1360 S 5TH ST OFC 336B
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63301-2486
Practice Address - Country:US
Practice Address - Phone:636-757-3366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PROMISING HOME HEALTH CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care