Prosper Adolescent Care LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

PROSPER ADOLESCENT CARE LLC

Doing business as

Prosper Treatment

Practice address

31733 S Fork Yaak Rd Ste B
Troy, MT 59935-8681

Phone

(855) 383-2566

NPI assigned

Mar 10, 2020

Last updated

Mar 10, 2020By 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

John William Baisden Jr.

Title

Partner

Phone

(406) 890-5885

Specialties & licenses 1

Addresses

Other names 1

• Prosper Treatment Doing business as

Locations

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1760017701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6885 BAUMAN ST",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838058723",
            "telephone_number": "855-383-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31733 S FORK YAAK RD STE B",
            "city": "TROY",
            "state": "MT",
            "postal_code": "599358681",
            "telephone_number": "855-383-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPER ADOLESCENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "BAISDEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "406-890-5885",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prosper Treatment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatric Residential Treatment Facility in Troy, MT
• Providers in Troy, MT by specialty
• Psychiatric Residential Treatment Facility in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.