Organization
PROSPER COMMUNITY CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA PAGE (DIRECTOR)
(501) 918-0138
Entity
Organization
Contact information
Practice address
2121 W 16TH ST, LITTLE ROCK, AR 72202
(501) 918-0138
(501) 476-0351
Mailing address
1711 S SUMMIT ST, LITTLE ROCK, AR 72202-5917
(501) 918-0138
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
03/31/2025
Last updated
02/02/2026
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