Active NPI
Prosperity Home Care
- Home Health Agency
- Philadelphia, PA
National Provider Identifier
1083199509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nadja Hill
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103504710-0001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Home Health Agency
- Philadelphia, PA
- NPI 1235633900
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.