Provider Demographics
NPI:1841776549
Name:PROSPER HUMAN SERVICES INC.
Entity Type:Organization
Organization Name:PROSPER HUMAN SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER / CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEDIA
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:SWAZO
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:609-284-0342
Mailing Address - Street 1:11 W ORMOND AVE STE 150-A
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-3054
Mailing Address - Country:US
Mailing Address - Phone:609-284-0342
Mailing Address - Fax:609-543-2485
Practice Address - Street 1:11 W ORMOND AVE STE 150-A
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-3054
Practice Address - Country:US
Practice Address - Phone:609-284-0342
Practice Address - Fax:609-543-2485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-16
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ251B00000X, 251S00000X, 305R00000X, 385H00000X
251C00000X, 251E00000X, 251G00000X, 251K00000X, 251X00000X, 253Z00000X, 261QD1600X, 347C00000X, 385HR2055X, 385HR2060X, 385HR2060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral Health
No251X00000XAgenciesSupports Brokerage
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No305R00000XManaged Care OrganizationsPreferred Provider Organization
No347C00000XTransportation ServicesPrivate Vehicle
No385H00000XRespite Care FacilityRespite Care
No385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0450278949Medicaid