Organization Active NPI

Prosper Living Solution LLC

  • Assisted Living Facility
  • Fort Worth, TX
National Provider Identifier
1306526702
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PROSPER LIVING SOLUTION LLC
Practice address
637 Sandy TRL
Fort Worth, TX 76120-2459
Phone
(214) 277-2012
NPI assigned
Jul 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Authorized official

Name
Folake Obioma
Title
Owner
Phone
(214) 277-2012

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary
Adult Care Home Facility 311ZA0620X
Medical Foods Supplier 335G00000X

Addresses

Primary practice location

637 Sandy TRL
Fort Worth, TX 76120-2459

Mailing address

637 Sandy TRL
Fort Worth, TX 76120-2459
Phone (214) 277-2012

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1306526702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 SANDY TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761202459",
            "telephone_number": "214-277-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 SANDY TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761202459",
            "telephone_number": "214-277-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPER LIVING SOLUTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "OBIOMA",
        "authorized_official_first_name": "FOLAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-277-2012"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335G00000X",
            "taxonomy_group": "",
            "desc": "Medical Foods Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.