Organization Active NPI

Prosperity Home Care

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1083199509
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PROSPERITY HOME CARE
Practice address
1911 N 54TH St
Philadelphia, PA 19131-3221
Phone
(484) 463-7573
Fax
(484) 713-5022
NPI assigned
Oct 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Nadja HillNPI 1235633900
Title
Owner/ Administrator
Phone
(267) 242-5460

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1911 N 54TH St
Philadelphia, PA 19131-3221

Mailing address

5203 Diamond St
Philadelphia, PA 19131-2303
Phone (484) 463-7573

Other identifiers 1

IdentifierTypeStateIssuer
103504710-0001MedicaidPA

National Provider Directory

National Provider Directory

Locations

1911 N 54th St
Philadelphia, PA 19131
Phone (484) 463-7573

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1083199509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5203 DIAMOND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191312303",
            "telephone_number": "484-463-7573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 N 54TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191313221",
            "telephone_number": "484-463-7573",
            "fax_number": "484-713-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITY HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-01",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "NADJA",
        "authorized_official_title_or_position": "OWNER/ ADMINISTRATOR",
        "authorized_official_telephone_number": "267-242-5460"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103504710-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.