Look up the most recent NPI and PECOS records

Prosperity Healthcare, Inc.

Home Health

Agencies

4119 W Burbank Blvd Ste 128, Burbank, CA 91505-2122

PECOS Enrollment

Based on the most recent information from CMS, provider Prosperity Healthcare, Inc. does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1891538633
Provider Type
Organization
Full Name
Prosperity Healthcare, Inc.

Subpart
No
Enumeration Date
6/18/2024
Last Updated
6/18/2024

Contact Information

Practice Location

4119 W Burbank Blvd Ste 128, Burbank, CA 91505-2122

(818) 795-7944

Unlisted Fax

Mailing Location

4119 W Burbank Blvd Ste 128, Burbank, CA 91505-2122

(818) 795-7944

Unlisted Fax

Authorized Official

Klyuchkovska, Viktoriya (Ceo)

(818) 795-7944

Provider Taxonomies

Code	Description	License
Code 251E00000X Primary	Description Home Health Agencies	License Unlisted Issuer

Prosperity Healthcare, Inc.

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

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Code

Description

License

Code

Description

License

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