MEDICARE: PROSPERITY HEALTH CARE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant	PCA6968	LA
2	311ZA0620X	Adult Care Home Facility	SIL7099	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467598268
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROSPERITY HEALTH CARE SERVICES

Provider Business Mailing Address
First Line	:	11628 S CHOCTAW DR
Second Line	:	SUITE 227
City	:	BATON ROUGE
State	:	LA
Zip	:	70815-2107
Country	:	US
Telephone Number	:	227-275-5999
Fax Number	:	225-275-6611

Provider Business Practice Location Address
First Line	:	11628 S CHOCTAW DR
Second Line	:	SUITE 227
City	:	BATON ROUGE
State	:	LA
Zip	:	70815-2107
Country	:	US
Telephone Number	:	227-275-5999
Fax Number	:	225-275-6611

Authorized Official
Title or Position	:	MANAGER
Name	:	MISS ERICA L WILLIAMS
Credential	:
Telephone Number	:	225-275-5999

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	09/11/2025

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Directions to “PROSPERITY HEALTH CARE SERVICES ” Practice Location

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