Active NPI
Prosperity Home Care LLC
- Home Health Agency
- San Diego, CA
National Provider Identifier
1780446849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PROSPERITY HOME CARE LLC
- Practice address
- 2667 Camino del Rio S Ste 105-8
San Diego, CA 92108-3707 - Phone
- (858) 568-0311
- NPI assigned
- Jan 24, 2024
- Last updated
- Jan 24, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Doup Bol Chuol
- Title
- Owner/Ceo
- Phone
- (858) 568-0311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
2667 Camino del Rio S Ste 105-8
San Diego, CA 92108-3707
Mailing address
2667 Camino del Rio S Ste 105-8
San Diego, CA 92108-3707
Phone (858) 568-0311
National Provider Directory
National Provider DirectoryLocations
2667 Camino del Rio S
Ste 1058
San Diego, CA 92108
Phone (858) 568-0311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706054400000",
"number": "1780446849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2667 CAMINO DEL RIO S STE 105-8",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083707",
"telephone_number": "858-568-0311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2667 CAMINO DEL RIO S STE 105-8",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083707",
"telephone_number": "858-568-0311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROSPERITY HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-24",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A",
"authorized_official_last_name": "CHUOL",
"authorized_official_first_name": "DOUP",
"authorized_official_middle_name": "BOL",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "858-568-0311"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
- Shea Prophet
- Christopher Mancha Propps
- Proprius, Inc. (Proprius Pharmaceuticals, Inc.)
- Tobe Propst, MD
- Prospera Internal Medicine & Aesthetics, Inc.
- Prosperous Health San Diego, LLC (San Diego Transformation Center)
- Heather Prosser, NP
- Alisa Prostek, B.A. SLPA
- Protocol Intelligence Inc.
- Proton Center Development Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.