Healthcare Provider Details

I. General information

NPI: 1083536973
Provider Name (Legal Business Name): PROSPERITY PROPERTIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

514 S 38TH AVE
OMAHA NE
68105-1102
US

IV. Provider business mailing address

514 S 38TH AVE
OMAHA NE
68105-1102
US

V. Phone/Fax

Practice location:
  • Phone: 402-200-9220
  • Fax:
Mailing address:
  • Phone: 402-200-9220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State

VIII. Authorized Official

Name: LISA PINKERTON
Title or Position: OWNER
Credential:
Phone: 402-200-9220