Prosperity Healthcare Agency

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

PROSPERITY HEALTHCARE AGENCY

Practice address

4801 Southwick Dr
Matteson, IL 60443-2254

Phone

(708) 269-3121

NPI assigned

Apr 8, 2024

Organization subpart

Yes

Parent organization

PROSPERITY HEALTHCARE AGENCYAs reported in NPPES

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

Authorized official

Name

Kara Spraggins, RN

Title

Nurse Supervisor

Phone

(708) 269-3121

Specialties & licenses 1

Addresses

Other names 1

• Prosperity Pediatric Services Doing business as

Part of

Prosperity Healthcare Agency

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1194578591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 SOUTHWICK DR STE 630-H",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432254",
            "telephone_number": "708-269-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 SOUTHWICK DR",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432254",
            "telephone_number": "708-269-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITY HEALTHCARE AGENCY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROSPERITY HEALTHCARE AGENCY",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "SPRAGGINS",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "NURSE SUPERVISOR",
        "authorized_official_telephone_number": "708-269-3121",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prosperity Pediatric Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prosperity Pediatric Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Garrett Leonard Quail II, ATC
• R & S Laboratory and Diagnostic Testing Center LLC
• R and L Transportation LLC

• Nursing Care Agency in Matteson, IL
• Providers in Matteson, IL by specialty
• Nursing Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.