Healthcare Provider Details

I. General information

NPI: 1407178742
Provider Name (Legal Business Name): PROSPECTUS ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2010
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 WILLIAM LN
READING PA
19604-1551
US

IV. Provider business mailing address

840 WILLIAM LN
READING PA
19604-1551
US

V. Phone/Fax

Practice location:
  • Phone: 610-372-4637
  • Fax: 610-372-8644
Mailing address:
  • Phone: 610-372-4637
  • Fax: 610-372-8644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License NumberPSA-3164-07
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: NIKKI ROMAN-CRUZ
Title or Position: CFO
Credential:
Phone: 610-372-4637