Prosper Home Health and Transportation Services

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PROSPER HOME HEALTH AND TRANSPORTATION SERVICES

Practice address

10025 Colfax Ave S
Bloomington, MN 55431-3133

Phone

(612) 876-1187

NPI assigned

May 16, 2020

Organization subpart

No

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

Authorized official

Name

Ifrah D Ali, RN AND ADMINISTRATOR

Title

RN and Administrator

Phone

(858) 877-0066

Specialties & licenses 3

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1589587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1881216430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10025 COLFAX AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554313133",
            "telephone_number": "612-876-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10025 COLFAX AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554313133",
            "telephone_number": "612-876-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPER HOME HEALTH AND TRANSPORTATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-16",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "IFRAH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "RN AND ADMINISTRATOR",
        "authorized_official_telephone_number": "858-877-0066",
        "authorized_official_credential": "RN AND ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.