Prosperity Wellness Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PROSPERITY WELLNESS INC

Practice address

1400 Reynolds Ave Ste 205&206
Irvine, CA 92614-5559

Phone

(714) 615-5915

NPI assigned

Jan 3, 2019

Last updated

Jan 3, 2019By 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

Mr. Joel W EdwardsNPI 1689905234

Title

Ceo

Phone

(714) 615-5915

Specialties & licenses 1

Addresses

Tax ID family

Prosperity Wellness Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Prosperity Wellness Inc

  • Substance Abuse Rehabilitation Facility
  • Newport Beach, CA
  • NPI 1780157610
  NPD tax ID

Locations

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.

• Joel Wesley Edwards

  • Addiction (Substance Use Disorder) Counselor
  • Fountain Valley, CA
  • NPI 1689905234
  NPD Authorized official

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1235602160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10525 VISTA SORRENTO PKWY STE 310",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212748",
            "telephone_number": "714-615-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 REYNOLDS AVE STE 205&206",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145559",
            "telephone_number": "714-615-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITY WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-615-5915",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Irvine, CA
• Providers in Irvine, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.