Organization Active NPI

Prosper LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Denver, CO
National Provider Identifier
1770130957
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
PROSPER LLC
Practice address
19319 E 39TH PL
Denver, CO 80249-7356
Phone
(972) 352-7128
NPI assigned
Aug 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Authorized official

Name
Tsion Hundie
Title
Director
Phone
(972) 352-7128

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

19319 E 39TH PL
Denver, CO 80249-7356

Mailing address

19319 E 39TH PL
Denver, CO 80249-7356
Phone (972) 352-7128

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1770130957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19319 E 39TH PL",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802497356",
            "telephone_number": "972-352-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19319 E 39TH PL",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802497356",
            "telephone_number": "972-352-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "HUNDIE",
        "authorized_official_first_name": "TSION",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-352-7128"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.