PROSPER AUGUSTA, LLC (NPI# 1679100275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679100275 |
| Entity Type | Organization |
| Organization Name | PROSPER AUGUSTA, LLC |
| Practice Address |
1287 Marks Church Rd Ste A Augusta GA 30909-2497 |
| Mailing Address |
3088 Mercer University Dr Ste 100 Atlanta GA 30341-4140 |
| Practice Telephone | 7055043770 |
| Mailing Telephone | 4047843365 |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-03-24 |
| Authorized Official Name | DOUGLAS LUEDER (CEO) |
| Authorized Official Telephone | 4047843365 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
1287 MARKS CHURCH RD STE A |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909-2497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| Find all providers in zip 30909 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528515517 | Seed To Grow LLC | In Home Supportive Care | 3091 Parrish Rd Apt F, Augusta, GA 30907-0374 | 2016-09-07 |
| 1083168827 | The Home Care Group LLC | In Home Supportive Care | 1915 Walton Way, Augusta, GA 30904-4117 | 2016-08-10 |
| 1548626930 | The Pathway Agency | In Home Supportive Care | 1378 Laney Walker Blvd Ste 103, Augusta, GA 30901-2763 | 2016-01-14 |
| 1710360516 | Scarc, Inc. | In Home Supportive Care | 11 Us Highway 206 Ste 100, Augusta, NJ 07822-2032 | 2015-06-30 |
| 1740616150 | Angelic Hands Adult Sitting Services | In Home Supportive Care | 2509 Smoketree Rd, Augusta, GA 30906-5976 | 2013-09-17 |
| 1457690745 | Rehab Without Walls, Inc. | In Home Supportive Care | 820 St Sebastin Way Se, Augusta, GA 30901 | 2013-02-06 |
| 1144595596 | Agnes Elderly Care Sitter Services Agency | In Home Supportive Care | 3517 Brockdale Dr, Augusta, GA 30906-8991 | 2012-03-19 |
| 1932413127 | Addus Healthcare (south Carolina), Inc. | In Home Supportive Care | 149 Davis Rd, Suite D, Augusta, GA 30907-5072 | 2010-07-30 |
| 1275762627 | Ann Broughton | In Home Supportive Care | 1087 Lamson Rd, Augusta, ME 04330-8557 | 2009-07-07 |
| 1396971073 | Bransford LLC | In Home Supportive Care | 1830 Walton Way, Augusta, GA 30904-3875 | 2009-06-08 |
| Find all providers in AUGUSTA | ||||
Please comment or provide details below to improve the information on PROSPER AUGUSTA, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.