Organization Active NPI

Prosperous Home Care Services, (PHCS) LLC

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1104415199
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PROSPEROUS HOME CARE SERVICES, (PHCS) LLC
Practice address
8501 Tower Point Dr Ste B-20
Charlotte, NC 28227-7849
Phone
(704) 806-4844
Fax
(704) 943-0790
NPI assigned
Jan 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Authorized official

Name
Lennis Brown Jr.NPI 1619022985
Title
Program Director
Phone
(704) 806-4844

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
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

8501 Tower Point Dr Ste B-20
Charlotte, NC 28227-7849

Mailing address

11231 Red Spruce Dr
Charlotte, NC 28215-7607
Phone (704) 806-4844

Other names 1

  • Prosperous Home Care Services Doing business as

National Provider Directory

National Provider Directory

Locations

8501 Tower Point Dr
Ste B20
Charlotte, NC 28227
Phone (704) 806-4844

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": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1104415199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11231 RED SPRUCE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282157607",
            "telephone_number": "704-806-4844",
            "fax_number": "704-943-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 TOWER POINT DR STE B-20",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282277849",
            "telephone_number": "704-806-4844",
            "fax_number": "704-943-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPEROUS HOME CARE SERVICES, (PHCS) LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LENNIS",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "704-806-4844",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prosperous Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.