Prosperity Health Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

011923 Issued in TX

Legal business name

PROSPERITY HEALTH SERVICES, LLC

Practice address

1615 N Hampton Rd
Suite 130
Desoto, TX 75115-8303

Phone

(972) 296-1901

Fax

(972) 296-5590

NPI assigned

Dec 3, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Cleotha Montgomery

Title

Owner

Phone

(972) 296-1901

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1194907048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 N HAMPTON RD",
            "address_2": "SUITE 130",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751158303",
            "telephone_number": "972-296-1901",
            "fax_number": "972-296-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 N HAMPTON RD",
            "address_2": "SUITE 130",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751158303",
            "telephone_number": "972-296-1901",
            "fax_number": "972-296-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITY HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "CLEOTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-296-1901",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "011923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "453189",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psych Help PLLC
• Psych Resolutions
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• Wakeisha Purifoy

• Home Health Agency in Desoto, TX
• Providers in Desoto, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.