Prosperity Care LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

270912557 Issued in TX

Legal business name

PROSPERITY CARE LLC

Practice address

4006 Ripplebrook Dr
Houston, TX 77045-5518

Phone

(713) 434-7700

Fax

(713) 434-7703

NPI assigned

Apr 10, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Deondra Rochelle Hardemon

Title

Ceo

Phone

(713) 434-7700

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Deondra R Hardemon2 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.

• Deondra R Hardemon

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Houston, TX
  • NPI 1982889655
  NPD tax ID

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1730445271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 RIPPLEBROOK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770455518",
            "telephone_number": "713-434-7700",
            "fax_number": "713-434-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4006 RIPPLEBROOK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770455518",
            "telephone_number": "713-434-7700",
            "fax_number": "713-434-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "HARDEMON",
        "authorized_official_first_name": "DEONDRA",
        "authorized_official_middle_name": "ROCHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-434-7700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "TX",
            "license": "270912557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME COMMUNITY BASED SERVICE PROVIDER",
            "identifier": "1982889655",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prospective Medical PLLC
• Prosper Lis LLC
• Prospera Rehabilitation LLC
• Prospering Care LLC
• Prosperity Behavioral Care
• Prosperity Community
• Prosperity Freight and Transportation LLC
• Prosperity Health Clinic Inc
• Prosperity Home Health
• Prosperity Home Healthcare

• Exclusive Provider Organization in Houston, TX
• Providers in Houston, TX by specialty
• Exclusive Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.