Prosperity Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PROSPERITY HOME CARE, LLC

Practice address

1422 Fountain View Dr
Lawrenceville, GA 30043-3990

Phone

(470) 350-8637

Fax

(206) 401-5911

NPI assigned

Jun 24, 2019

Last updated

Jun 9, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amelia Michelle SolomonNPI 1750906368

Title

Administrator

Phone

(470) 350-8637

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amelia Michelle Solomon

  • Home Health Aide
  • Lawrenceville, GA
  • NPI 1750906368
  NPD Authorized official

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1285295030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3276 BUFORD DR STE 104-280",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305195702",
            "telephone_number": "470-350-8637",
            "fax_number": "206-401-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 FOUNTAIN VIEW DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300433990",
            "telephone_number": "470-350-8637",
            "fax_number": "206-401-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITY HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-24",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "470-350-8637"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amelia@prosperityhomecare.com",
            "affiliation": "N",
            "address_1": "2378 Stone Willow Way",
            "city": "Buford",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305194600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• In Home Supportive Care Agency in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.