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PROSPER HOME HEALTH AND TRANSPORTATION SERVICES NPI 1881216430


NPI Information

NPI: 1881216430
Provider Name: PROSPER HOME HEALTH AND TRANSPORTATION SERVICES
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 24D2185664

Address:
10025 COLFAX AVE S
BLOOMINGTON, MN
ZIP 55431
Phone: (612) 876-1187
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PROSPER HOME HEALTH AND TRANSPORTATION SERVICES is an assisted living facility in Bloomington, MN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. PROSPER HOME HEALTH AND TRANSPORTATION SERVICES NPI is 1881216430. The provider is registered as an organization entity type.

The provider's business location address is:

10025 COLFAX AVE S
BLOOMINGTON, MN
ZIP 55431-133
Phone: (612) 876-1187

The provider's authorized official is Ifrah D Ali .
The authorized official title is Rn And Administrator and has the following contact phone number (858) 877-0066.

The CLIA number assigned to this NPI record is 24D2185664 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2020 and was last updated on 12/5/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13104A0625XAssisted Living FacilityAssisted Living, Mental IllnessNo
2251E00000XHome HealthNo
3310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.