PROSPERITY HOME CARE, LLC (NPI# 1285295030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285295030 |
| Entity Type | Organization |
| Organization Name | PROSPERITY HOME CARE, LLC |
| Practice Address |
1422 Fountain View Dr Lawrenceville GA 30043-3990 |
| Mailing Address |
3276 Buford Dr Ste 104-280 Buford GA 30519-5702 |
| Practice Telephone | 4703508637 |
| Practice Fax Number | 2064015911 |
| Mailing Telephone | 4703508637 |
| Mailing Fax Number | 2064015911 |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2020-06-09 |
| Authorized Official Name | AMELIA MICHELLE SOLOMON (ADMINISTRATOR) |
| Authorized Official Telephone | 4703508637 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
1422 FOUNTAIN VIEW DR |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30043-3990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750906368 | Amelia Michelle Solomon | Home Health Aide | 1422 Fountain View Dr, Lawrenceville, GA 30043-3990 | 2020-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483882 | Brittany Javier Dunn | Counselor | 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 | 2020-09-30 |
| 1629614037 | Terrea Gina Bridges | Behavior Technician | 2387 Huntcrest Rd, Lawrenceville, GA 30043 | 2019-11-20 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
| 1649766874 | Nutritionecw LLC | Dietitian, Registered | 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 | 2018-07-11 |
| 1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
| 1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
| 1518486810 | Shira Brey Williams | Specialist/Technologist | 1030 Collins Hill Rd, Lawrenceville, GA 30043 | 2017-09-18 |
| 1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
| 1992245591 | Jagruti Chaudhari | Nurse Practitioner | 855 Buford Drive, Lawrenceville, GA 30043 | 2017-03-01 |
| Find all providers in zip 30043 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538776570 | Superior Home Care Services, LLC | In Home Supportive Care | 2242 Young America Dr, Lawrenceville, GA 30043-8011 | 2020-09-24 |
| 1225648330 | Capri Homecare LLC | In Home Supportive Care | 97 Daisy Meadow Trl, Lawrenceville, GA 30044-4685 | 2020-08-04 |
| 1184248015 | Dynamic Nursing LLC | In Home Supportive Care | 405 Philip Blvd Apt 910, Lawrenceville, GA 30046-8758 | 2020-06-06 |
| 1902443393 | Gina's Love LLC. | In Home Supportive Care | 779 Braselton Hwy, Lawrenceville, GA 30043-4510 | 2019-12-04 |
| 1558928903 | Passion To Care Home Care LLC | In Home Supportive Care | 250 Langley Dr Ste 1114, Lawrenceville, GA 30046-6932 | 2019-05-21 |
| 1770020067 | Touching Lives Home Care LLC | In Home Supportive Care | 377 W Pike St, A-3, Lawrenceville, GA 30046-4881 | 2017-01-24 |
| 1174916027 | Nightingales Medical Agency | In Home Supportive Care | 889 Short St, Lawrenceville, GA 30046-6155 | 2015-03-16 |
| 1851794861 | Stable Care Services, Inc | In Home Supportive Care | 1763 Taylor Oaks Dr, Lawrenceville, GA 30043-1525 | 2014-10-03 |
| 1174952444 | Aplomb Home Care, LLC | In Home Supportive Care | 2377 Lake Ridge Ter, Lawrenceville, GA 30043-6066 | 2013-11-06 |
| 1699100479 | Our Little Hill, LLC | In Home Supportive Care | 140 Darrah Ln, Lawrenceville, NJ 08648-3110 | 2013-09-11 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30043 |
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| 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.