Prosperity Hall

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

787673 Issued in TX

Legal business name

PROSPERITY HALL

Practice address

516 Ferry Rd
Galveston, TX 77550-3146

Phone

(409) 682-7574

NPI assigned

May 29, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Josephine Edwards, RN, BSN

Title

Owner/Ceo

Phone

(409) 682-7574

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306713600000",
    "number": "1003100744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 CEDAR DR",
            "city": "LA MARQUE",
            "state": "TX",
            "postal_code": "775683905",
            "telephone_number": "409-682-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 FERRY RD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775503146",
            "telephone_number": "409-682-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITY HALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-29",
        "last_updated": "2011-05-30",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "409-682-7574",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "TX",
            "license": "787673",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": "787673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tushanna Nicole Price, LMFT
• Megha Priyadarshi
• Jefferson Alejandro Proano Zamudio, MD
• Brianna Lindsay Probasco, MD
• John David Propes, LO
• Donald S Prough, MD
• Thomas Michael Prusmack, MD
• Ryan Pu, DO
• Kathleen Marie Purdes
• Julie Purser, CLINICAL PSYCHOLOGIS

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Galveston, TX
• Providers in Galveston, TX by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.