Prosperity Support Services, Inc.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

PROSPERITY SUPPORT SERVICES, INC.

Practice address

723 River Valley Dr
Jonesboro, GA 30238-5793

Phone

(678) 520-6043

NPI assigned

Aug 27, 2014

Organization subpart

No

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

Authorized official

Name

Jewandra RawlsNPI 1245630136

Title

Founder, Chief Executive

Phone

(678) 520-6043

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jewandra Rawls

  • Behavior Analyst
  • Jonesboro, GA
  • NPI 1245630136
  NPD (past) Authorized official

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1124428024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 RIVER VALLEY DR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302385793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 RIVER VALLEY DR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302385793",
            "telephone_number": "678-520-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITY SUPPORT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "RAWLS",
        "authorized_official_first_name": "JEWANDRA",
        "authorized_official_title_or_position": "FOUNDER, CHIEF EXECUTIVE",
        "authorized_official_telephone_number": "678-520-6043"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Early Intervention Provider Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.