Organization Active NPI

Prosperity Home Care LLC

  • Home Health Agency
  • San Diego, CA
National Provider Identifier
1780446849
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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)CodeLicenseStatePrimary
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 Directory

Locations

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

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.

Verify at the official NPI Registry.