PROSPECT, INC. (NPI# 1801939798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801939798 |
| Entity Type | Organization |
| Organization Name | PROSPECT, INC. |
| Practice Address |
960 Maddox Simpson Pkwy Lebanon TN 37090-0751 |
| Practice Telephone | 6154440597 |
| Practice Fax Number | 6154441251 |
| Mailing Telephone | 6154440597 |
| Mailing Fax Number | 6154441251 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-07-10 |
| Authorized Official Name | KATHERINE ANN SIMONE (DIRECTOR OF MANAGED CARE PROGRAMS) |
| Authorized Official Telephone | 6154440597 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | L000000018006 | TN | Agencies |
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| Y | 251E00000X | Home Health | L000000018006 | TN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | H445127 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PROSPECT, INC. | 41400 Se 143 Po Box 1640, North Bend, WA 98045 |
| Vermont Business Registrations | PROSPECT, INC. | Bomoseen, VT 05732 |
| Street Address |
960 MADDOX SIMPSON PKWY |
| City | LEBANON |
| State | TN |
| Zip Code | 37090-0751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093262743 | Prospect, Incorporated | Day Training, Developmentally Disabled Services | 960 Maddox Simpson Pkwy, Lebanon, TN 37090-0751 | 2016-09-09 |
| 1669864195 | Charles Flynn | Nurse Practitioner | 960 Maddox Simpson Pkwy, Lebanon, TN 37090-0751 | 2015-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376926840 | Kathryn Mccloud | Physical Therapist | 163 Business Park Drive, Lebanon, TN 37090 | 2015-07-02 |
| 1811380926 | Samantha Smith | Nurse Practitioner | 101 Physicians Way Ste 111, Lebanon, TN 37090 | 2015-03-13 |
| 1760575831 | Ronald Scott Forczek | Respiratory Therapist, Certified | 8265 Trousdale Ferry Pike, Lebanon, TN 37090 | 2006-10-02 |
| 1649271206 | Roy C. Terry | Orthopaedic Surgery | 101 Physicians Way, Ste. 111, Lebanon, TN 37090 | 2005-08-04 |
| 1679570345 | Rhoda S Powers | Nurse Practitioner | 100 Physicians Way, Lebanon, TN 37090 | 2005-07-07 |
| 1285103689 | Jessica A Barron | Dermatology | 107 Glidepath Way, Lebanon, TN 37090 | 2018-11-15 |
| 1811109614 | Susan Anissa Hatcher | Occupational Therapy Assistant | 2215 Callis Rd, Lebanon, TN 37090 | 2007-05-04 |
| 1558386771 | Andre C Olivier | Internal Medicine | 100 Physicians Way, Suite 300, Lebanon, TN 37090 | 2006-07-12 |
| 1326030156 | Tennessee Orthopedics, P.C. | Orthopaedic Surgery | 101 Physicians Way, Ste. 111, Lebanon, TN 37090 | 2005-08-18 |
| 1154686673 | Stephanie Ruckman | Nurse Practitioner | 115 Moriah Dr, Lebanon, TN 37090-0731 | 2012-07-10 |
| Find all providers in zip 37090 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112090 | Hands-on Skilled Home Health Care | Home Health | 2035 Weavertown Rd, Lebanon, PA 17046-8728 | 2020-10-21 |
| 1013428812 | Wicare Home Care Agency, LLC. | Home Health | 906 Cumberland St, Lebanon, PA 17042-5139 | 2017-10-19 |
| 1437533718 | A Touch of Heaven Home Health Care LLC | Home Health | 1061 Oregonia Rd, Lebanon, OH 45036-9740 | 2015-07-16 |
| 1811238595 | Koch International Inc | Home Health | 406 Deerfield Rd, Lebanon, OH 45036-2308 | 2013-03-06 |
| 1477806578 | East Coast Nursing LLC | Home Health | 721 Narrows Drive, (home Office), Lebanon, PA 17046-9204 | 2012-10-26 |
| 1366746513 | Jill Renee Kleinfelter | Home Health | 233 S Lincoln Ave, Lebanon, PA 17042-5449 | 2011-01-03 |
| 1699078824 | Cedar Breeze Medical Care LLC | Home Health | 12414 Stewarts Ferry Pike, Lebanon, TN 37090-0896 | 2010-12-09 |
| 1720307812 | Cherish Life Inc. | Home Health | 135 N Broadway St, Lebanon, OH 45036-1703 | 2010-05-28 |
| 1518101419 | Medical Services of America, Inc. | Home Health | 531 West Baddour Parkway, Suite B, Lebanon, TN 37087-2495 | 2009-04-23 |
| 1891971917 | American National Home Health Inc | Home Health | 95 Signature Place, Lebanon, TN 37087 | 2008-01-18 |
| Find all providers in LEBANON | ||||
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| 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.