Provider Demographics
NPI:1861387094
Name:P.R.O.M.I.S.E HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:P.R.O.M.I.S.E HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ASEANTI
Authorized Official - Middle Name:N
Authorized Official - Last Name:CALHOUN
Authorized Official - Suffix:
Authorized Official - Credentials:BSN-RN
Authorized Official - Phone:414-451-8658
Mailing Address - Street 1:PO BOX 250276
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53225-6502
Mailing Address - Country:US
Mailing Address - Phone:414-451-8658
Mailing Address - Fax:414-312-8313
Practice Address - Street 1:5600 W FOND DU LAC AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53216-1222
Practice Address - Country:US
Practice Address - Phone:414-451-8658
Practice Address - Fax:414-312-8313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health