NPIMap

Organization Active NPI

Prosperitas, LLC

  • Durable Medical Equipment & Medical Supplies
  • Mount Airy, NC
National Provider Identifier
1043445547
Registry record updated May 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PROSPERITAS, LLC
Practice address
172 W Independence Blvd
Mount Airy, NC 27030-3566
Phone
(336) 756-9535
Fax
(888) 682-9095
NPI assigned
May 27, 2009
Organization subpart
Yes
Parent organization
NORTHEAST GEORGIA REHABILITATION CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 27, 2009

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

Authorized official

Name
Mr. William Kevin Harrison
Title
Business Manager
Phone
(336) 756-9535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

172 W Independence Blvd
Mount Airy, NC 27030-3566

Mailing address

PO Box 1793
Pilot Mountain, NC 27041-1793
Phone (336) 756-9535

National Provider Directory

National Provider Directory
Part of
Northeast Ga Rehab CNTR Inc

NPI Registry JSON

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243382400000",
    "number": "1043445547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1793",
            "city": "PILOT MOUNTAIN",
            "state": "NC",
            "postal_code": "270411793",
            "telephone_number": "336-756-9535",
            "fax_number": "888-682-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 W INDEPENDENCE BLVD",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270303566",
            "telephone_number": "336-756-9535",
            "fax_number": "888-682-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITAS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHEAST GEORGIA REHABILITATION CENTER, INC",
        "enumeration_date": "2009-05-27",
        "last_updated": "2009-05-27",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "336-756-9535",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; 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.