Active NPI
Prosperin 21 St LLC
Doing business as Healthbridge Home Care Solutions
- Home Health Agency
- Wakefield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PROSPERIN 21 ST LLC
- Doing business as
- Healthbridge Home Care Solutions
- Practice address
- 301 Edgewater PL
Wakefield, MA 01880-1293 - Phone
- (781) 856-0539
- Fax
- (781) 584-6983
- NPI assigned
- Jan 30, 2015
- Last updated
- Dec 27, 2016
- Organization subpart
- Yes
- Parent organization
- PROSPERIN 21 ST LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeannette Mukandori Ndahunga, LPN
- Title
- President/ Secretary
- Phone
- (781) 856-0539
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | MA | Primary |
Addresses
Primary practice location
301 Edgewater PL
Wakefield, MA 01880-1293
Mailing address
301 Edgewater Place
Suite 100
Wakefield, MA 01880-6234
Phone (781) 842-3035
Other names 1
- Healthbridge Home Care Solutions
National Provider Directory
National Provider Directory- Part of
- Prosperin 21 St LLC
Locations
301 Edgewater Pl
Wakefield, MA 01880
Phone (413) 412-2917
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Licensed Practical Nurse
- Lynn, MA
- NPI 1326569799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1482796800000",
"number": "1902296783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 EDGEWATER PLACE",
"address_2": "SUITE 100",
"city": "WAKEFIELD",
"state": "MA",
"postal_code": "018806234",
"telephone_number": "781-842-3035",
"fax_number": "781-584-6983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 EDGEWATER PL",
"city": "WAKEFIELD",
"state": "MA",
"postal_code": "018801293",
"telephone_number": "781-856-0539",
"fax_number": "781-584-6983"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROSPERIN 21 ST LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PROSPERIN 21 ST LLC",
"enumeration_date": "2015-01-30",
"last_updated": "2016-12-27",
"status": "A",
"authorized_official_last_name": "NDAHUNGA",
"authorized_official_first_name": "JEANNETTE",
"authorized_official_middle_name": "MUKANDORI",
"authorized_official_title_or_position": "PRESIDENT/ SECRETARY",
"authorized_official_telephone_number": "781-856-0539",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Healthbridge Home Care Solutions",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Wakefield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.