Provider Demographics
NPI:1720235575
Name:PROMISE HOME HEALTH INC
Entity Type:Organization
Organization Name:PROMISE HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EMMALYN
Authorized Official - Middle Name:V
Authorized Official - Last Name:ALCANTARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-980-6036
Mailing Address - Street 1:2801 S VALLEY VIEW BLVD
Mailing Address - Street 2:STE # 3
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-0116
Mailing Address - Country:US
Mailing Address - Phone:562-980-6036
Mailing Address - Fax:
Practice Address - Street 1:2801 S VALLEY VIEW BLVD
Practice Address - Street 2:STE # 3
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-0116
Practice Address - Country:US
Practice Address - Phone:562-980-6036
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-23
Last Update Date:2008-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health