Provider Demographics
NPI:1841776549
Name:PROSPER HUMAN SERVICES INC.
Entity type:Organization
Organization Name:PROSPER HUMAN SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER / CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEDIA
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:SWAZO
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:609-284-0342
Mailing Address - Street 1:11 W ORMOND AVE STE 150-A
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-3054
Mailing Address - Country:US
Mailing Address - Phone:609-284-0342
Mailing Address - Fax:609-543-2485
Practice Address - Street 1:11 W ORMOND AVE STE 150-A
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-3054
Practice Address - Country:US
Practice Address - Phone:609-284-0342
Practice Address - Fax:609-543-2485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-16
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QD1600X, 347C00000X, 385HR2055X, 385HR2060X, 251C00000X, 251E00000X, 251G00000X, 251K00000X, 251X00000X, 253Z00000X, 385HR2060X
NJ305R00000X, 385H00000X, 251B00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No305R00000XManaged Care OrganizationsPreferred Provider Organization
No347C00000XTransportation ServicesPrivate Vehicle
No385H00000XRespite Care FacilityRespite Care
No385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral Health
No251X00000XAgenciesSupports Brokerage
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0450278949Medicaid