# PROSPERIN 21 ST LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PROSPERIN 21 ST LLC
- **Other names:** Healthbridge Home Care Solutions
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1902296783
- **Legal business name:** PROSPERIN 21 ST LLC
- **Authorized official:** JEANNETTE MUKANDORI NDAHUNGA LPN (PRESIDENT/ SECRETARY)
- **Authorized official phone:** (781) 856-0539

## Contact information

- **Practice address:** 301 EDGEWATER PL, WAKEFIELD, MA 01880-1293
- **Practice address phone:** (781) 856-0539
- **Practice address fax:** (781) 584-6983
- **Mailing address:** 301 EDGEWATER PLACE, SUITE 100, WAKEFIELD, MA 01880-6234
- **Mailing address phone:** (781) 842-3035
- **Mailing address fax:** (781) 584-6983

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | MA | Yes |

## Other

- **Enumeration date:** 01/30/2015
- **Last updated:** 12/27/2016