Healthcare Provider Details

I. General information

NPI: 1952042228
Provider Name (Legal Business Name): PROSPER LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2022
Last Update Date: 09/25/2023
Certification Date: 09/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7105 SW 8TH ST STE 205
MIAMI FL
33144-4664
US

IV. Provider business mailing address

7105 SW 8TH ST STE 205
MIAMI FL
33144-4664
US

V. Phone/Fax

Practice location:
  • Phone: 305-910-4009
  • Fax:
Mailing address:
  • Phone: 305-910-4009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: MR. VICTOR CUZA
Title or Position: CEO
Credential:
Phone: 305-910-4009