Organization Active NPI

Prosper Community Care, LLC

  • In Home Supportive Care Agency
  • Atlanta, GA
National Provider Identifier
1831726447
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PROSPER COMMUNITY CARE, LLC
Practice address
3088 Mercer University Dr Ste 100B
Atlanta, GA 30341-4140
Phone
(404) 784-3365
NPI assigned
Mar 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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

Authorized official

Name
Douglas Lueder
Title
Ceo
Phone
(404) 784-3365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3088 Mercer University Dr Ste 100B
Atlanta, GA 30341-4140

Mailing address

3088 Mercer University Dr Ste 100
Atlanta, GA 30341-4140
Phone (404) 784-3365

Other names 1

  • Prosper Community Care, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

3088 Mercer University Dr
Ste 100B
Atlanta, GA 30341
Phone (404) 784-3365

3088 Mercer University Dr
Ste 100
Atlanta, GA 30341
Phone (678) 705-8717

NPI Registry JSON

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585008000000",
    "number": "1831726447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3088 MERCER UNIVERSITY DR STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414140",
            "telephone_number": "404-784-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3088 MERCER UNIVERSITY DR STE 100B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414140",
            "telephone_number": "404-784-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPER COMMUNITY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-24",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A",
        "authorized_official_last_name": "LUEDER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-784-3365"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prosper Community Care, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.