Prosperous Recovery Homes LLC

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

PROSPEROUS RECOVERY HOMES LLC

Practice address

18744 W San Juan Ave
Litchfield Park, AZ 85340-0019

Phone

(818) 445-0567

NPI assigned

Dec 5, 2023

Last updated

Dec 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christopher Mugwanya

Title

Ceo

Phone

(818) 445-0567

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1972370500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18744 W SAN JUAN AVE",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853400019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18744 W SAN JUAN AVE",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853400019",
            "telephone_number": "818-445-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPEROUS RECOVERY HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "MUGWANYA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-445-0567"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.