Organization
PROMISE HOME SERVICES, INC.
Active
Other names
Promise Care at Home
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY LYNN KINSLER RN (PRESIDENT)
(765) 659-4663
Entity
Organization
Contact information
Practice address
2107 W STATE ROAD 28, FRANKFORT, IN 46041-9184
(765) 659-4663
(765) 659-5355
Mailing address
PO BOX 415, FRANKFORT, IN 46041-0415
(765) 659-4663
(765) 659-5355
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
060049781
IN
251J00000X
Nursing Care Agency
060049781
IN
3747A0650X
Attendant Care Provider
070049781
IN
3747P1801X
Personal Care Attendant
070049781
IN
374U00000X
Home Health Aide
070049781
IN
376J00000X
Homemaker
070049781
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200828570
IHCP PROVIDER NUMBER
IN
Enumeration date
11/21/2006
Last updated
01/12/2011
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