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General NPI Number Information
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NPI Number | 1700694239
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Entity Type | Organization
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Legal Business Name | A-1 PROSPERITY CARE HOMES LLC
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Dates
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Enumeration Date | 12/30/2024
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 531 VICEROY CT
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City | KISSIMMEE
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State | FL
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Zip | 34758-4209
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Country | US
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Telephone | 407-791-7234
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Fax |
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Provider Business Mailing Address
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Address Line | 531 VICEROY CT
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City | KISSIMMEE
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State | FL
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Zip | 34758-4209
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Country | US
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Telephone | 407-791-7234
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KENESHA DEBREKA POWELL
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Credential |
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Telephone | 407-791-7234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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