Prosperity Homecare, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROSPERITY HOMECARE, INC.

Practice address

29 Crestview Dr
Bloomfield, CT 06002-2536

Phone

(860) 938-5021

NPI assigned

Sep 21, 2022

Organization subpart

No

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

Authorized official

Name

Shenikah Grandison

Title

Administrator

Phone

(860) 938-5021

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1194448415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CRESTVIEW DR",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 CRESTVIEW DR",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022536",
            "telephone_number": "860-938-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITY HOMECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "GRANDISON",
        "authorized_official_first_name": "SHENIKAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "860-938-5021"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.