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NPI Code Detail

MEDICARE: PROMISE HOSPITAL OF ASCENSION, INC.

MEDICARE: PROMISE HOSPITAL OF ASCENSION, INC.
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1282E00000XLong Term Care Hospital650LA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
35D167OTHERLAMEDICARE PROF

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730188558
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROMISE HOSPITAL OF ASCENSION, INC.
Provider Business Mailing Address
First Line : 999 YAMATO ROAD
Second Line : 3RD FLOOR
City : BOCA RATON
State : FL
Zip : 33431
Country : US
Telephone Number : 561-869-3100
Fax Number : 561-826-0171
Provider Business Practice Location Address
First Line : 5130 MANCUSO LN
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-3583
Country : US
Telephone Number : 225-490-9600
Fax Number : 225-490-9690
Authorized Official
Title or Position : CFO
Name : MR. JAMES HOPWOOD
Credential :
Telephone Number : 561-869-3100
Provider Enumeration Date : 07/14/2005
Last Update Date : 04/11/2018

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