Healthcare Provider Details

I. General information

NPI: 1275595597
Provider Name (Legal Business Name): PROMISE HOSPITAL OF BATON ROUGE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2006
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 FLORIDA BLVD FL 4
BATON ROUGE LA
70806-3842
US

IV. Provider business mailing address

999 YAMATO ROAD 3RD FLOOR
BOCA RATON FL
33431
US

V. Phone/Fax

Practice location:
  • Phone: 225-387-7770
  • Fax:
Mailing address:
  • Phone: 561-869-3100
  • Fax: 561-826-0171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number517
License Number StateLA

VIII. Authorized Official

Name: JAMES HOPWOOD
Title or Position: CFO
Credential:
Phone: 561-869-3100