NPIMap

Organization Active NPI

Prosperin 21 St LLC

  • Home Health Agency
  • Lynn, MA
National Provider Identifier
1982064960
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PROSPERIN 21 ST LLC
Practice address
531 Essex St
Lynn, MA 01902-3946
Phone
(781) 856-0539
Fax
(781) 584-6983
NPI assigned
Mar 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Authorized official

Name
Ms. Jeannette M NdahungaNPI 1326569799
Title
Owner
Phone
(781) 842-3035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

531 Essex St
Lynn, MA 01902-3946

Mailing address

531 Essex St
Lynn, MA 01902-3946
Phone (781) 856-0539

Other names 1

  • Home For Life Health Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carr Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1982064960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 ESSEX ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019023946",
            "telephone_number": "781-856-0539",
            "fax_number": "781-584-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 ESSEX ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019023946",
            "telephone_number": "781-856-0539",
            "fax_number": "781-584-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERIN 21 ST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "NDAHUNGA",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-842-3035",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home For Life Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.

Verify at the official NPI Registry.