Prospect Health LLC

Primary specialty

Recovery Care Clinic/CenterTaxonomy code 261QR0800X

Legal business name

PROSPECT HEALTH LLC

Practice address

1 W Lake St Ste 165-3
Minneapolis, MN 55408-3154

Phone

(612) 429-7680

NPI assigned

Jun 5, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Diini Jama

Title

Managing Partner

Phone

(612) 429-7680

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1003700824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W LAKE ST STE 165-3",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554083154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W LAKE ST STE 165-3",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554083154",
            "telephone_number": "612-429-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPECT HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "DIINI",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "612-429-7680"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Aliya Prommachai
• Erin Naylor Pronley, LICSW
• Tracy L Prosen, MD
• Rachel Prosser
• Nefeli Protogeraki
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• Kirsten Kay Prouty, OTR/L
• Provenance Homes 1, LLC

• Recovery Care Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Recovery Care Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.