Healthcare Provider Details

I. General information

NPI: 1841776549
Provider Name (Legal Business Name): PROSPER HUMAN SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2018
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 SCHMITT RD
WEST ORANGE NJ
07052-2227
US

IV. Provider business mailing address

2 SCHMITT RD
WEST ORANGE NJ
07052-2227
US

V. Phone/Fax

Practice location:
  • Phone: 609-284-0342
  • Fax: 609-543-2485
Mailing address:
  • Phone: 609-284-0342
  • Fax: 609-543-2485

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: MS. ANDREA WILSON
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 609-284-0342