Basic Information
| Provider Information | |||||||||
| NPI: | 1851955298 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | KPC PROMISE HOSPITAL OF BATON ROUGE LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 900 N FEDERAL HWY STE 350 | ||||||||
| Address2: | |||||||||
| City: | BOCA RATON | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334322754 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5618696505 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5130 MANCUSO LN | ||||||||
| Address2: | |||||||||
| City: | BATON ROUGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 708093583 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2254909600 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/30/2019 | ||||||||
| LastUpdateDate: | 11/01/2021 | ||||||||
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| AuthorizedOfficialLastName: | THOMAS | ||||||||
| AuthorizedOfficialFirstName: | WILLIAM | ||||||||
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| AuthorizedOfficialTitleorPosition: | SECRETARY | ||||||||
| AuthorizedOfficialTelephone: | 9519878100 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 11/01/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282E00000X | Y | Hospitals | Long Term Care Hospital |
No ID Information.