Prosper Care Homes LLC

Primary specialty

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

Legal business name

PROSPER CARE HOMES LLC

Practice address

17211 NE Multnomah Dr
Portland, OR 97230-6331

Phone

(503) 384-2080

Fax

(503) 384-2080

NPI assigned

Jul 12, 2023

Organization subpart

No

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

Authorized official

Name

Lydia Nganga

Title

Executive Director

Phone

(469) 226-7960

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1538848221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17211 NE MULTNOMAH DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972306331",
            "telephone_number": "503-384-2080",
            "fax_number": "503-384-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17211 NE MULTNOMAH DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972306331",
            "telephone_number": "503-384-2080",
            "fax_number": "503-384-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPER CARE HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "NGANGA",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "469-226-7960"
    },
    "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": []
}

• Lois Rebecca Propst, PHD
• Matt Prosa
• Austin Charles Prosch
• Celeste Angelita Prose, BA
• Amanda Iris Prosise
• Prosperity Path
• Michelle Prosser, CNM, APN
• Protocall Services
• Mehz Adara Prottas, QMHP
• Riley W Protz

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Portland, OR
• Providers in Portland, OR by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.