Organization
PROSPER PROLIFIC LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVORIE HAYES (FOUNDER)
(202) 977-5555
Entity
Organization
Contact information
Practice address
2416 CHICORY DR, CHARLOTTE, NC 28213-9286
(202) 977-5555
Mailing address
2416 CHICORY DR, CHARLOTTE, NC 28213-9286
(202) 977-5555
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
225800000X
Recreation Therapist
—
—
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
05/29/2025
Last updated
06/03/2025
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