Provider Demographics
NPI:1407178742
Name:PROSPECTUS ASSOCIATES, INC.
Entity type:Organization
Organization Name:PROSPECTUS ASSOCIATES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:NIKKI
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMAN-CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-372-4637
Mailing Address - Street 1:840 WILLIAM LN
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19604-1551
Mailing Address - Country:US
Mailing Address - Phone:610-372-4637
Mailing Address - Fax:610-372-8644
Practice Address - Street 1:840 WILLIAM LN
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19604-1551
Practice Address - Country:US
Practice Address - Phone:610-372-4637
Practice Address - Fax:610-372-8644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-26
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
320900000X, 385H00000X, 373H00000X, 251S00000X
PAPSA-3164-07253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253J00000XAgenciesFoster Care Agency
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No385H00000XRespite Care FacilityRespite Care
No373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health