Prosperity in-Home Health Care Servicec, LLC

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

PROSPERITY IN-HOME HEALTH CARE SERVICEC, LLC

Practice address

999 Waterside Dr
Ste 2525
Norfolk, VA 23510-3300

Phone

(757) 828-5207

NPI assigned

Jul 8, 2014

Organization subpart

Yes

Parent organization

PROSPERITY IN-HOME HEALTH CARE SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Chasity Adams

Title

Administrator

Phone

(757) 828-5207

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PROSPERITY IN-HOME HEALTH CARE SERVICES-HAMPTON ROADS Doing business as

Tax ID family

Prosperity in-Home Health Care Servicec LLC2 organizations share this tax ID, including this one

Part of

Prosperity in-Home Health Care Servicec LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Prosperity in-Home Health Care

  • Respite Care
  • Stafford, VA
  • NPI 1346552809
  NPD tax ID

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1285040535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2534",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225552534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 WATERSIDE DR",
            "address_2": "STE 2525",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235103300",
            "telephone_number": "757-828-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITY IN-HOME HEALTH CARE SERVICEC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROSPERITY IN-HOME HEALTH CARE SERVICES, LLC",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "CHASITY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "757-828-5207"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HCO",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROSPERITY IN-HOME HEALTH CARE SERVICES-HAMPTON ROADS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Crystal Miller Proud, M.D.
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• Provider Source Home Health Care
• Province Place
• Provisions Medical Transport, LLC

• Respite Care in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Respite Care in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.