Organization Active NPI

Prosperity Health Services

  • Home Health Agency
  • Desoto, TX
National Provider Identifier
1760403406
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
008862 Issued in TX
Legal business name
PROSPERITY HEALTH SERVICES
Practice address
119 Executive Way
Suite 302
Desoto, TX 75115-2341
Phone
(972) 296-1901
Fax
(972) 296-5590
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Maria Teresa Drake
Title
Administrator
Phone
(972) 296-1901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 008862 TX Primary

Addresses

Primary practice location

119 Executive Way
Suite 302
Desoto, TX 75115-2341

Mailing address

119 Executive Way
Suite 302
Desoto, TX 75115-2341
Phone (972) 296-1901

National Provider Directory

National Provider Directory

Locations

115 Executive Way
#207
Desoto, TX 75115
Phone (972) 296-1901

119 Executive Way
Ste 302
Desoto, TX 75115
Phone (972) 296-1901

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760403406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 EXECUTIVE WAY",
            "address_2": "SUITE 302",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152341",
            "telephone_number": "972-296-1901",
            "fax_number": "972-296-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 EXECUTIVE WAY",
            "address_2": "SUITE 302",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152341",
            "telephone_number": "972-296-1901",
            "fax_number": "972-296-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-296-1901",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "008862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.