Organization Active NPI

Prosperity in-Home Health Care

  • Respite Care
  • Stafford, VA
National Provider Identifier
1346552809
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
PROSPERITY IN-HOME HEALTH CARE
Practice address
2152 Jefferson Davis Hwy
C
Stafford, VA 22554-7281
Phone
(540) 318-6416
Fax
(540) 318-6516
NPI assigned
Jul 12, 2010
Last updated
Apr 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Authorized official

Name
Ms. Chasity Elaine Adams
Title
Administrator
Phone
(540) 318-6416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X VA Primary

Addresses

Primary practice location

2152 Jefferson Davis Hwy
C
Stafford, VA 22554-7281

Mailing address

PO Box 2534
Stafford, VA 22555-2534
Phone (540) 318-6416

Other identifiers 1

IdentifierTypeStateIssuer
1346552809MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
Prosperity in-Home Health Care Servicec LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1346552809",
    "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",
            "telephone_number": "540-318-6416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2152 JEFFERSON DAVIS HWY",
            "address_2": "C",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547281",
            "telephone_number": "540-318-6416",
            "fax_number": "540-318-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITY IN-HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-12",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "CHASITY",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "540-318-6416",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346552809",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.