Prosperity Ridge Enterprises LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PROSPERITY RIDGE ENTERPRISES LLC

Practice address

2642 Green Heron Dr
Fayetteville, NC 28306-3580

Phone

(910) 729-9357

Fax

(910) 729-9357

NPI assigned

Jul 8, 2026

Last updated

Jul 8, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keila RodriguezNPI 1588274633

Title

Ceo

Phone

(910) 729-9357

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keila Rodriguez

  • Driver
  • Fayetteville, NC
  • NPI 1588274633
  Authorized official Same address or phone

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

{
    "created_epoch": "1783468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1154249944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2642 GREEN HERON DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283063580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2642 GREEN HERON DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283063580",
            "telephone_number": "910-729-9357",
            "fax_number": "910-729-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITY RIDGE ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-08",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "KEILA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-729-9357"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.