Organization Active NPI

Prosperity Palms, LLC

  • Custodial Care Facility
  • North Palm Beach, FL
National Provider Identifier
1336422880
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
Legal business name
PROSPERITY PALMS, LLC
Practice address
800 Prosperity Farms Road
North Palm Beach, FL 33408
Phone
(561) 301-2096
NPI assigned
Sep 21, 2011
Last updated
Sep 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Authorized official

Name
Mr. Todd Jablonski
Title
Owner/Ceo
Phone
(561) 301-2096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X NU Primary

Addresses

Primary practice location

800 Prosperity Farms Road
North Palm Beach, FL 33408

Mailing address

800 Prosperity Farms Road
North Palm Beach, FL 33408
Phone (561) 301-2096

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1336422880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PROSPERITY FARMS ROAD",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "33408",
            "telephone_number": "561-301-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PROSPERITY FARMS ROAD",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "33408",
            "telephone_number": "561-301-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITY PALMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "JABLONSKI",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "561-301-2096",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.