National Provider Identifier Database

PROSPER HEALTH LLC
Rehabilitation, Substance Use Disorder Unit

A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)


Contact Information

PROSPER HEALTH LLC
1345 HILINE RD
POCATELLO, ID83201-2943
Phone: 208-757-0337
Fax:
Website:
Specialty Taxonomy Code
* Rehabilitation, Substance Use Disorder Unit 276400000X

* Indicates primary specialty

NPI Profile & details for PROSPER HEALTH LLC

NPI Number 1407695224
Legal business name
LBN
PROSPER HEALTH LLC
Authorized official CHESTER LACKEY - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/21/2024
Last updated 05/21/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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