Prosperity Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROSPERITY HOME CARE LLC

Practice address

46355 Lakeside Park Dr Apt 204
Shelby Township, MI 48315-5548

Phone

(586) 610-2671

NPI assigned

Nov 28, 2018

Last updated

Nov 28, 2018By 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

Miss Latoryia Katrice Waddles

Title

Owner

Phone

(585) 610-2671

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543363200000",
    "number": "1720558190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46355 LAKESIDE PARK DR APT 204",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483155548",
            "telephone_number": "586-610-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46355 LAKESIDE PARK DR APT 204",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483155548",
            "telephone_number": "586-610-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A",
        "authorized_official_last_name": "WADDLES",
        "authorized_official_first_name": "LATORYIA",
        "authorized_official_middle_name": "KATRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-610-2671",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "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 28, 2018; 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.