PROSPERITY HEALTH PC (NPI# 1003434754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003434754 |
| Entity Type | Organization |
| Organization Name | PROSPERITY HEALTH PC |
| Practice Address |
41000 Woodward Ave Ste 350 Bloomfield Hills MI 48304-5092 |
| Practice Telephone | 2489974242 |
| Practice Fax Number | 2489974243 |
| Mailing Telephone | 2489974242 |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-09 |
| Authorized Official Name | NISHATH K HAKIM (CEO) |
| Authorized Official Telephone | 2489974242 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | INDIVIDUAL NPI | 1083694830 | 01 |
| MI | STATE LICENSE | 4301063552 | 01 |
| Street Address |
41000 WOODWARD AVE STE 350 |
| City | BLOOMFIELD HILLS |
| State | MI |
| Zip Code | 48304-5092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083694830 | Nishath K Hakim | Internal Medicine | 41000 Woodward Ave Ste 350, Bloomfield Hills, MI 48304-5092 | 2006-01-18 |
| 1497365050 | Appointed Transportation Corporation | Non-emergency Medical Transport (VAN) | 41000 Woodward Ave Ste 350, Bloomfield Hills, MI 48304-5092 | 2020-08-07 |
| 1255941837 | Klockwise, Inc. | Social Worker | 41000 Woodward Ave Ste 350, Bloomfield Hills, MI 48304-5092 | 2020-08-07 |
| 1063051332 | Mind Connections LLC | Social Worker | 41000 Woodward Ave Ste 350, Bloomfield Hills, MI 48304-5092 | 2020-01-03 |
| 1790324648 | Fox Rehabilitation Services Mi LLC | Occupational Therapist | 41000 Woodward Ave Ste 350, Bloomfield Hills, MI 48304-5092 | 2019-12-24 |
| 1396388518 | Kristen Ghersi Hurrell Phd Pllc | Clinic/Center | 41000 Woodward Ave Ste 350, Bloomfield Hills, MI 48304-5092 | 2019-10-21 |
| 1568924306 | Rise Psychiatric Services | Clinic/Center | 41000 Woodward Ave Ste 350, Bloomfield Hills, MI 48304-5092 | 2019-04-02 |
| 1629563218 | Balance Link Therapy Group Pllc | Counselor | 41000 Woodward Ave Ste 350, Bloomfield Hills, MI 48304 | 2018-06-26 |
| 1154821932 | Kendra Tillman | Social Worker | 41000 Woodward Ave Ste 350, Bloomfield Hills, MI 48304-5092 | 2018-02-18 |
| 1255786612 | Natalie Joan Lares | Psychiatry & Neurology | 41000 Woodward Ave Ste 350, Bloomfield Hills, MI 48304-5092 | 2016-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093346462 | Easy Living Assistance | Adult Companion | 41000 Woodward Ave Suite E 350, Bloomfield Twp, MI 48304 | 2020-02-04 |
| 1013499979 | Bloomfield Hills Dental Associates Pllc | Dentist | 36700 Woodward Avenue, Suite 200, Bloomfield Hills, MI 48304 | 2018-09-06 |
| 1780191965 | Donna Jane Bishop | Social Worker | 549 Kingsley Trail, Bloomfield Hills, MI 48304 | 2018-01-09 |
| 1750730636 | Rana Karcho | Occupational Therapist | 40800 Woodward Ave., Bloomfield Hills, MI 48304 | 2016-06-10 |
| 1447607684 | Jennifer Ramsey-martin | Technician, Other | 458 Fox Hills Dr. N. Apt #7, Bloomfield Hills, MI 48304 | 2016-05-18 |
| 1922438811 | Rachel Mary Eshkanian | Counselor | 41000 Woodward Avenue, Suite 350 East, Bloomfield Hills, MI 48304 | 2013-11-14 |
| 1578887535 | Earle W. Spohn Jr. D.o. P.C. | Surgery | 27 Balfour Dr, Bloomfield Hills, MI 48304 | 2010-03-19 |
| 1710110440 | John Hazlett Mclaughlin | Surgery | 756 Briar Hill Lane, Bloomfield Hills, MI 48304 | 2009-08-28 |
| 1710120597 | Bala Shanker Prasad | Orthopaedic Surgery | 264, Pine Ridge Dr, Bloomfield Hills, MI 48304 | 2009-04-09 |
| 1083862460 | Nermeen Hassan Elnabtity | Dentist | 950 Southdown Rd, Bloomfield Hills, MI 48304 | 2008-08-28 |
| Find all providers in zip 48304 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396137154 | Synergy Consulting, LLC | Clinic/Center | 7 W Square Lake Rd, Bloomfield Hills, MI 48302-0462 | 2015-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346866167 | God's Path Community Services | Clinic/Center | 2500 Lemay St, Detroit, MI 48214-3146 | 2020-06-17 |
| 1487280681 | Aml Medical Pllc | Clinic/Center | 16584 Westbrook St, Detroit, MI 48219-3870 | 2020-03-19 |
| 1447883053 | Fenton Massage Company | Clinic/Center | 1250 N Leroy St, Fenton, MI 48430-2760 | 2020-02-21 |
| 1275097487 | Harmony Family Center LLC | Clinic/Center | 50 Filer St Ste 324, Manistee, MI 49660-2727 | 2019-01-22 |
| 1619477866 | Nichole Sandoval | Clinic/Center | 1427 Pingree Ave, Lincoln Park, MI 48146-2094 | 2018-02-14 |
| 1457867574 | Physicians Technology, LLC | Clinic/Center | 23 E Front St Ste 200, Monroe, MI 48161-2210 | 2017-12-27 |
| 1497264022 | Vietmdnet | Clinic/Center | 10948 Thornberry Way, Zeeland, MI 49464-7905 | 2017-09-27 |
| 1033634688 | In His Hands Family Chiropractic, Pllc | Clinic/Center | 5236 Dumond Ct, Lansing, MI 48917-6001 | 2017-08-04 |
| 1063952166 | On-demand Scanning LLC | Clinic/Center | 171 Blanche Dr, Troy, MI 48098-2934 | 2017-03-08 |
| 1982146098 | John Patrick Basler | Clinic/Center | 1006 19th St, Bay City, MI 48708-7348 | 2016-11-07 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMFIELD HILLS |
| Zip Code | 48304 |
Please comment or provide details below to improve the information on PROSPERITY HEALTH PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.