Provider Demographics
NPI:1376954404
Name:PROSPERITY CARE LLC.
Entity Type:Organization
Organization Name:PROSPERITY CARE LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-370-3600
Mailing Address - Street 1:4365 HARRISON AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-3321
Mailing Address - Country:US
Mailing Address - Phone:513-370-3600
Mailing Address - Fax:513-429-4031
Practice Address - Street 1:4365 HARRISON AVE STE 201
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-3321
Practice Address - Country:US
Practice Address - Phone:513-370-3600
Practice Address - Fax:513-429-4031
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PROSPERITY CARE LLC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-05-12
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
OH3120376253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health