Provider Demographics
NPI:1932521838
Name:PROMISE COMPREHENSIVE SERVICES, INC.
Entity Type:Organization
Organization Name:PROMISE COMPREHENSIVE SERVICES, INC.
Other - Org Name:CARE PLUS HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RIH-REH
Authorized Official - Middle Name:
Authorized Official - Last Name:ALI USMANU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-236-7979
Mailing Address - Street 1:7655 61ST ST S
Mailing Address - Street 2:
Mailing Address - City:COTTAGE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55016-6004
Mailing Address - Country:US
Mailing Address - Phone:612-236-7979
Mailing Address - Fax:651-714-9213
Practice Address - Street 1:393 DUNLAP ST N STE 400A
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-4235
Practice Address - Country:US
Practice Address - Phone:651-739-6933
Practice Address - Fax:651-714-9213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-10
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251J00000XAgenciesNursing Care