Provider Demographics
NPI:1225543135
Name:PROMISE SENIOR SOLUTIONS
Entity Type:Organization
Organization Name:PROMISE SENIOR SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:BIGLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-273-6578
Mailing Address - Street 1:1042 COUNTY ROAD 4511
Mailing Address - Street 2:
Mailing Address - City:HONDO
Mailing Address - State:TX
Mailing Address - Zip Code:78861-6024
Mailing Address - Country:US
Mailing Address - Phone:210-736-4677
Mailing Address - Fax:
Practice Address - Street 1:1042 COUNTY ROAD 4511
Practice Address - Street 2:
Practice Address - City:HONDO
Practice Address - State:TX
Practice Address - Zip Code:78861-6024
Practice Address - Country:US
Practice Address - Phone:210-736-4677
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-14
Last Update Date:2017-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care