Healthcare Provider Details
I. General information
NPI: 1669314795
Provider Name (Legal Business Name): PROMISES CARE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1361 NW BRANDYWINE LN
WAUKEE IA
50263-7212
US
IV. Provider business mailing address
1361 NW BRANDYWINE LN
WAUKEE IA
50263-7212
US
V. Phone/Fax
- Phone: 515-491-1000
- Fax:
- Phone: 515-491-1000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ELINE
NIYIBIZI
Title or Position: OWNER
Credential:
Phone: 515-779-6245