Healthcare Provider Details

I. General information

NPI: 1467598268
Provider Name (Legal Business Name): PROSPERITY HEALTH CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11628 S CHOCTAW DR SUITE 227
BATON ROUGE LA
70815-2107
US

IV. Provider business mailing address

11628 S CHOCTAW DR SUITE 227
BATON ROUGE LA
70815-2107
US

V. Phone/Fax

Practice location:
  • Phone: 227-275-5999
  • Fax: 225-275-6611
Mailing address:
  • Phone: 227-275-5999
  • Fax: 225-275-6611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License NumberPCA6968
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License NumberSIL7099
License Number StateLA

VIII. Authorized Official

Name: MISS ERICA L WILLIAMS
Title or Position: MANAGER
Credential:
Phone: 225-275-5999