MEDICARE: PROMISE DESIRES ANGELS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	385H00000X	Respite Care
2	253Z00000X	In Home Supportive Care Agency
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1558255067
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROMISE DESIRES ANGELS

Provider Business Mailing Address
First Line	:	1354 SENECA BLVD
Second Line	:
City	:	BROADVIEW HEIGHTS
State	:	OH
Zip	:	44147-2416
Country	:	US
Telephone Number	:	440-903-9357
Fax Number	:

Provider Business Practice Location Address
First Line	:	1354 SENECA BLVD
Second Line	:
City	:	BROADVIEW HEIGHTS
State	:	OH
Zip	:	44147-2416
Country	:	US
Telephone Number	:	440-903-9357
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ASHLEY KING
Credential	:
Telephone Number	:	440-903-9357

Provider Enumeration Date	:	06/07/2025
Last Update Date	:	06/07/2025

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Directions to “PROMISE DESIRES ANGELS ” Practice Location

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