Organization Active NPI

Prosperity Care Residence, LLC

  • Assisted Living Facility
  • Saint Paul, MN
National Provider Identifier
1871421222
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PROSPERITY CARE RESIDENCE, LLC
Practice address
1233 Prosperity Ave
Saint Paul, MN 55106-2124
Phone
(651) 666-5348
Fax
(844) 444-1256
NPI assigned
May 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Authorized official

Name
Michael Cherwayia Thao
Title
Owner / Administrator
Phone
(612) 759-2379

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1233 Prosperity Ave
Saint Paul, MN 55106-2124

Mailing address

1233 Prosperity Ave
Saint Paul, MN 55106-2124
Phone (651) 666-5348

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1778630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1871421222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 PROSPERITY AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551062124",
            "telephone_number": "651-666-5348",
            "fax_number": "844-444-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 PROSPERITY AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551062124",
            "telephone_number": "651-666-5348",
            "fax_number": "844-444-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITY CARE RESIDENCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-13",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "THAO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CHERWAYIA",
        "authorized_official_title_or_position": "OWNER / ADMINISTRATOR",
        "authorized_official_telephone_number": "612-759-2379"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.