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PROMISE CARE CENTER, LLC
NPI 1114725678
In Home Supportive Care in Nixa, MO

Active since March 03, 2025CLIA 26D2171365 · Waiver

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Promise Care Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROMISE CARE CENTER, LLC (NPI 1114725678) is a healthcare organization registered as an in home supportive care in Nixa, Missouri and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through August 28, 2027 and lists Joshua Williams, Member, as its authorized official.

NPPES Registry Identity

NPI1114725678
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NamePROMISE CARE CENTER, LLC
Location Address1111 CARE AVENixa, MO 65714-9679
Mailing AddressPo Box 836Hannibal, MO 63401-0836
Phone(417) 494-5037
Organization SubpartNo
Authorized OfficialJoshua WilliamsMember · (573) 795-5012
Enumeration DateMarch 3, 2025
NPPES CertifiedMarch 3, 2025
✔ NPI 1114725678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
1111 CARE AVE, Nixa, MO 65714
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2171365

Promise Care Center LLC · Nixa, MO
Active · expires Aug 28, 2027
CLIA Number26D2171365
Laboratory TypeAssisted Living Facility
Certificate Effective DateAugust 29, 2025
Certificate Expiration DateAugust 28, 2027
Laboratory DirectorJoshua J. Williams
Laboratory Phone(573) 795-5012
Laboratory LocationPromise Care Center LLC1111 Care Ave, Nixa, MO 65714
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BOULDERWOOD ESTATES LLC
In Home Supportive Care
1111 CARE AVE
NIXA, MO 65714
Christian County (417) 374-7755
PROMISE CARE CENTER, LLC
Assisted Living Facility
1111 CARE AVE
NIXA, MO 65714
Christian County (417) 494-5037
LIFE ENHANCEMENT VILLAGE OF THE OZARKS, INC.
Assisted Living Facility (Assisted Living, Mental Illness)
1111 CARE AVE
NIXA, MO 65714
Christian County (417) 725-6680

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Promise Care Center, LLC's NPI number?

The NPI number for Promise Care Center, LLC is 1114725678. It was assigned to this organization in the NPPES registry on March 3, 2025.

Where is Promise Care Center, LLC located?

Promise Care Center, LLC is located at 1111 Care Ave, Nixa, MO 65714. The listed phone number is (417) 494-5037.

What is Promise Care Center, LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Does Promise Care Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2171365) is associated with this NPI, valid through August 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Promise Care Center, LLC was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.