Prosper Path Group Home LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

PROSPER PATH GROUP HOME LLC

Practice address

19007 Aquatic Dr
Humble, TX 77346-8029

Phone

(612) 816-8528

NPI assigned

Nov 13, 2025

Organization subpart

No

Name

Jason Cullen

Title

Owner

Phone

(612) 816-8528

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 13, 2025.

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1457211336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19007 AQUATIC DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773468029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19007 AQUATIC DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773468029",
            "telephone_number": "612-816-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPER PATH GROUP HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "CULLEN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-816-8528"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.