Organization Active NPI

Prolific Legacy LLC

Doing business as Prolific Home Care Agency

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1346177169
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PROLIFIC LEGACY LLC
Doing business as
Prolific Home Care Agency
Practice address
4141 Elbridge St
Philadelphia, PA 19135-3027
Phone
(267) 575-4908
NPI assigned
May 6, 2026
Last updated
Sep 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Authorized official

Name
Mr. Jose Martinez Jr.
Title
Ceo
Phone
(267) 575-4908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4141 Elbridge St
Philadelphia, PA 19135-3027

Mailing address

4141 Elbridge St
Philadelphia, PA 19135-3027
Phone (267) 575-4908

Other names 1

  • Prolific Home Care Agency Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1778025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1346177169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 ELBRIDGE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191353027",
            "telephone_number": "267-575-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 ELBRIDGE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191353027",
            "telephone_number": "267-575-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROLIFIC LEGACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-06",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-575-4908",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prolific Home Care Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; 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.