Provider Demographics
NPI:1487467411
Name:PROSPER AT HOME LLC
Entity type:Organization
Organization Name:PROSPER AT HOME LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR, DON
Authorized Official - Prefix:
Authorized Official - First Name:MISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:STEADMAN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:972-746-6634
Mailing Address - Street 1:3531 BRIARCLIFF DR
Mailing Address - Street 2:
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078-1609
Mailing Address - Country:US
Mailing Address - Phone:972-746-6634
Mailing Address - Fax:
Practice Address - Street 1:3531 BRIARCLIFF DR
Practice Address - Street 2:
Practice Address - City:PROSPER
Practice Address - State:TX
Practice Address - Zip Code:75078-1609
Practice Address - Country:US
Practice Address - Phone:972-746-6634
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-31
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health