Prosperity Adult Day Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PROSPERITY ADULT DAY SERVICES

Practice address

12844 Raven St NW
Coon Rapids, MN 55448-2578

Phone

(651) 785-6896

NPI assigned

May 22, 2019

Organization subpart

No

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

Authorized official

Name

Mai Yang

Title

Program Manager

Phone

(651) 785-6896

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pang Yang

  • Adult Companion
  • Coon Rapids, MN
  • NPI 1457917262
  NPD (past)

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1912564261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12844 RAVEN ST NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554482578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12844 RAVEN ST NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554482578",
            "telephone_number": "651-785-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITY ADULT DAY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "MAI",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "651-785-6896"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin G Preston, CRNA
• Laura Price, DPT
• Kyelee Prince
• Paige Prince
• Christiann Marie Propp, NP
• Ian Provence, DPT
• Pradeep Putlur, MD
• Abigail Quaas
• Qualicare Homes Corporation
• Marianna Kristine Anderson Quanbeck

• In Home Supportive Care Agency in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• In Home Supportive Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.