Prospect, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

L000000018006 Issued in TN

Legal business name

PROSPECT, INC.

Practice address

960 Maddox Simpson Pkwy
Lebanon, TN 37090-0751

Phone

(615) 444-0597

Fax

(615) 444-1251

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Katherine Ann Simone

Title

Director of Managed Care Programs

Phone

(615) 444-0597

Specialties & licenses 3

Addresses

Other identifiers 1

Tax ID family

Prospect Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Prospect, Incorporated

  • Developmentally Disabled Services Day Training Agency
  • Lebanon, TN
  • NPI 1093262743
  NPD tax ID

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594339200000",
    "number": "1801939798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MADDOX SIMPSON PKWY",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370900751",
            "telephone_number": "615-444-0597",
            "fax_number": "615-444-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 MADDOX SIMPSON PKWY",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370900751",
            "telephone_number": "615-444-0597",
            "fax_number": "615-444-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPECT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A",
        "authorized_official_last_name": "SIMONE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE PROGRAMS",
        "authorized_official_telephone_number": "615-444-0597"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "L000000018006",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "L000000018006",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H445127",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premise Health of Tennessee Medical PC (CareHere - Lebanon)
• Diane Gloria Pretorius, PT
• Joey S Price, MD
• Primary Care Plus, LLC
• Helen Suzanne Prince, LPC
• Prospect, Incorporated
• Providence III, LLC (Well Health & Chiropractic Lebanon)
• Pryor Family Dentistry, PC
• Aaron Eugene Pryor, D.D.S.
• Publix Tennessee LLC (Publix Pharmacy #1175)

• Home Health Agency in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Home Health Agency in Tennessee

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