Prosper Integrated Health Care

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

PROSPER INTEGRATED HEALTH CARE

Practice address

10750 W McDowell Rd Ste C305
Avondale, AZ 85392-5964

Phone

(623) 755-5679

NPI assigned

Apr 20, 2021

Last updated

Nov 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Elonda Wilson

Title

Coo

Phone

(860) 690-5309

Specialties & licenses 2

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin H Wilson, ACSW-CA

  • Clinical Social Worker
  • Avondale, AZ
  • NPI 1033749031
  NPD

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1629659578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5135",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853765135",
            "telephone_number": "860-690-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10750 W MCDOWELL RD STE C305",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853925964",
            "telephone_number": "623-755-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPER INTEGRATED HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ELONDA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "860-690-5309",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Desktops",
            "affiliation": "N",
            "address_1": "10750 W McDowell Rd Ste C305",
            "city": "Avondale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853925964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Beth Ann Pyle-Smith, O.D.
• Sally Quach
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• Health Service Clinic/Center in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Health Service Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.